For each participant, please provide contact information including phone number and email address.  We are also requiring an emergency contact name and number

I. In consideration of being allowed to participate in the activities and programs of the JFGH/JCC and to use it’s facilities, equipment and/or machinery in addition to the payment of any fee or charge, I do hereby waive, release, and forever discharge the JFGH/JCC and it’s officers, agent, employees, or executors, and all others from any and all responsibilities or liability from injuries or damages resulting from my participation in any activities or my use of equipment or in the above-mentioned activities. I do hereby release all those mentioned and any others acting upon their behalf from any responsibility or liability for any injury or damage to myself, including those caused by negligent act or omission of any of those mentioned or others acting on their behalf or in any way arising out of, or connected with, my participation in activities of the JFGH/JCC or the use of equipment at the JFGH/JCC.

II. I do hereby assume all responsibility for my participation activities, and utilization of equipment and machinery in my activities. I hereby agree to expressly assume and accept all risks of injury or death.

III. I understand that JFGH/JCC programs and activities may be recorded & or photographed for archival or promotional purposes. Such recording and/or photographing may include class or activity participants. My attendance and/or participation shall be deemed my consent to appear in such recordings and/or photographs without compensation.

Billing Information

  • Visa
  • Mastercard
  • American Express
  • Discover
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