I, , the parent or legal guardian of , a participant in Student to Student program, through the Jewish Federation of Greater Philadelphia’s (“JFGP”) program scheduled from September 2026 through July 2027, do hereby enter into this Parental Consent Form and Release of Liability Waiver for the purpose of authorizing the above named student’s participation in the Student to Student program for reducing antisemitism and developing leadership skills in our teens. Activities may include but are not limited to training sessions, both in person and by Zoom, speaking engagements at local schools, and may include walking, transportation by motorized vehicle as arranged by students, including but not limited to Lyft, Uber, taxi and public transportation, and provision of meals by staff and volunteers associated with the above program. I acknowledge that this is a voluntary activity for which I freely give permission for my child’s participation. I further give my consent for my child to be photographed or videotaped, including audio, during the activities involved in this learning experience and grant permission to the JFGP to use said photos for non-commercial promotional and/or educational purposes. Said consent is given without any expectation of compensation or reward for any photos taken and/or used in educational and promotional literature. I agree that my child shall abide by all rules and regulations imposed by the JFGP staff during this program. I also acknowledge and accept that participation in the above activity involves certain inherent risks that cannot be eliminated regardless of the care taken. In consideration for the privilege of the abovenamed student’s participation in said enrichment program, I freely, voluntarily and knowingly assume all risks on behalf of said student as his/her parent or legal guardian. In the case of emergency, I authorize the JFGP staff, employees, volunteers, or agents to obtain emergency medical care for my child if deemed necessary, and I agree to be financially responsible for any medical costs incurred. I understand that the JFGP does not provide health or accident insurance for participants. I understand it is my responsibility to secure such coverage for my child. I further agree, in consideration of the above-named child’s participation in the program activities, including all necessary preliminary and follow-up activities associated with said program, to release, indemnify, and hold harmless the Jewish Federation of Greater Philadelphia and their directors, officers, employees, agents, representatives, successors and assigns (the “Jewish Federation Indemnified Parties”) from any claims, demands, or causes of action arising out of my child’s participation in the program, except to the extent caused by the gross negligence or willful misconduct of the Jewish Federation Indemnified Parties. In signing this release, I acknowledge and represent that I have read the foregoing waiver, release, and covenant not to sue, that I understand it, and that I sign it voluntarily as my own free act and deed. I further acknowledge that no oral representation, statements or inducements, apart from the foregoing written agreement, have been made and that I am at least eighteen (18) years of age and fully competent. If less than eighteen (18) years of age, a parent or legal guardian has signed, fully accepting each and every term. I (or my parent or legal guardian) execute(s) this Release for full, adequate and complete consideration, fully intending to be bound by same.
So agreed this 
. IN WITNESS WHEREOF, I set my hand hereto as of the date set forth below:
Initial the applicable statement and sign below to affirm acceptance of the aforementioned terms: