Minor Participation Waiver and Code of Conduct (Parents/Guardians)
Below are the health, safety, participation and photo/video terms and conditions for Tifereth Israel Synagogue programs and events.
By checking the box on the registration form and writing your name in the space provided, you confirm that you have read, understood, and agree to these terms on behalf of your child.
1. I understand the nature of this event
I have read the event description and understand the activities involved. I believe they are appropriate for my child.
2. My child is able to safely participate
To the best of my knowledge, my child is physically and mentally able to take part in the activities. If I have concerns, I will speak with staff before my child participates.
3. I accept that some activities include risks
I understand that physical, recreational, or movement-based activities include inherent risks of injury. I accept these risks on behalf of my child.
4. My child will follow all rules and instructions
I will ensure that my child understands and follows all safety rules, instructions from staff, and posted guidelines.
5. Emergency Medical Care
If my child becomes ill or injured, I authorize the synagogue, its staff, volunteers, or other trained individuals on site to provide basic first aid (such as cleaning cuts or applying bandages), CPR, or other emergency assistance as needed.
In the case of a serious medical emergency, I understand that the synagogue will call emergency services immediately and will make every effort to contact me as soon as possible. If I cannot be reached, I authorize a physician or medical professional selected by the synagogue or its staff to provide necessary treatment, including hospitalization, injections, anesthesia, or surgery. I understand that this form may be photocopied for use by medical caregivers, and that any medical costs are my responsibility.
6. Medical Conditions / Allergies
If my child has any allergies or other medical needs that may reasonably arise at the event, I understand it is my responsibility to report them in writing to the event organizers at the time of registering/RSVPing.
7. Photo and Video Release
I understand that photos and videos of my child may be taken during the event. I authorize the synagogue to use these images in printed or digital materials, including social media and the website. By agreeing to this waiver, I acknowledge that the child’s other parent/guardian, if they exist, have also given their permission. If I do not want my child’s image used, I will send a written request to at least 3 business days before the event.
8. Personal Property
I understand that the synagogue is not responsible for any loss, theft, or damage to my child’s personal property brought to the event, including but not limited to clothing, bags, electronics, or other personal items.
9. Code of Conduct
I will ensure my child acts with Derekh Eretz—respect and consideration for others—at all synagogue events and programs. My child will follow all laws and synagogue rules.
I understand that:
• My child may not use or possess alcohol, cannabis, or any other substances.
• My child may not engage in vandalism or intentional damage to synagogue property.
I understand that if any staff member or volunteer determines that my child has violated these rules, my child may be sent home from the event immediately at my expense, and I, as parent/guardian, will be responsible for any costs or damages incurred. If the event requires a participation fee, I will not receive a refund.
10. Release of Liability
To the fullest extent allowed by law, I release the synagogue, its staff, volunteers, and representatives from liability for injuries or damages involving my child during the event, except in cases of gross negligence or intentional harm.