Name of Activity: Celebrate Israel

WAIVER, RELEASE AND INDEMNITY

I have voluntarily chosen for myself and/or my minor children listed below to participate in an activity (the “Activity”) on the campus (the “Campus”) of the Jewish Federation of South Palm Beach County, Inc. (the “Federation”) and/or off the Campus but sponsored by the Federation or one of its Affiliates (as defined below). I understand that there are risks associated with participating in the Activity. Nonetheless, I for myself and my minor children assume all risks of participation in the Activity.

In consideration of the Federation allowing me and/or my minor children to participate in the Activity, I, on behalf of myself and my minor children and our respective personal representatives, heirs, executors, administrators, agents, and assigns, HEREBY RELEASE, WAIVE, DISCHARGE, AND HOLD HARMLESS & AGREE TO INDEMNIFY & DEFEND the Federation and all of its affiliates, affiliated agencies and all tenants on the Campus (collectively, “Affiliates”) and their respective directors, officers, employees, agents, volunteers and their respective heirs, personal representatives, successors and assigns (collectively with all Affiliates, the “Releasees”) for and from any and all liability, including any and all claims, losses, demands, causes of action (known or unknown), suits, or judgments of any and every kind (including attorneys' fees), arising from any injury, property damage or death that I or my minor children may suffer as a result of participation in or travel to or from the Activity, including any injury, property damage or death caused by any of the Releasees’ negligence.

I consent for myself and my minor children to all emergency medical treatment as may be deemed appropriate under existing circumstances by medical personnel in connection with the Activity and I agree to be financially responsible for any costs incurred as a result of such treatment.

I agree that the foregoing Waiver, Release and Indemnity is intended to be as broad and inclusive as is permitted by the laws of Florida and that if any portion hereof is held invalid I agree that the balance shall notwithstanding continue in full legal force and effect.

I have carefully read and understand this document, and I am signing it voluntarily and freely. I understand the legal consequences of signing this document, including (a) releasing the Releasees from all liability, (b) waiving my right to sue the Releasees, and (c) assuming all risks of participating in the Activity, including travel to and from the Activity or any events incidental to the Activity.

OPTIONAL MEDIA RELEASE: I grant full permission to the Jewish Federation of South Palm Beach County and its affiliates to use photographs, pictures, likenesses, and/or voices of myself or my minor children while participating in the Activity to appear in any official documentary, promotional (including any and all advertisements), television, radio, film, or Internet coverage, without compensation.

Electronic Signature Acknowledgment: The required checkboxes, printed name, signature, and date fields below serve as the electronic execution of this Waiver, Release and Indemnity.