The undersigned acknowledges that an online signature will, for all purposes, be treated as an original. The Primary Contact is soley responsible for the activities, behavior, safety and supervision of all children listed above.
• Participant/s gives permission to URJ Greene to provide routine health care, and seek emergency medical treatment including but not limited to ordering x-rays and routine tests. Participant gives permission for URJ Greene to release any of Participant’s records necessary for insurance purposes.
• In case of Participant’s medical emergency, the participant hereby gives permission to the physician selected by URJ Greene to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for Participant/s, as named above. Information may be printed/photocopied for access in an emergency involving Participant/s.
• I authorize the use of Participant/s name and program registration information including but not limited to Name(s), contact information, and programs in attendance for the purposes of sharing/verifying affiliation with reported URJ Congregation as well as in URJ Greene Rosters.
• I authorize the use of Participant/s social media user information, and contact information for purposes of marketing now known or hereafter devised, worldwide in perpetuity until such time that I choose to unsubscribe.
Recording Release: .
Participant/s herby consents to the recording use and reuse by URJ Greene, the URJ and URJ Partners and Affiliates of Participant’s Voice, actions, likeness, name, appearance and biographical material (i.e. collectively “likeness”) in any and all media now known or hereafter devised, worldwide in perpetuity including but not limited to live video, live audio, marketing materials and social media posts. The Participant/s agrees that Releases may use all or any part of Participant/s Likeness, and may alter or modify it regardless of whether or not the Participant/s is recognizable. The Participant/s further agrees that URJ Greene exclusively owns the registration materials that Participant has provided in connection with the program registration and any photos and video that URJ Greene will make of the Participant in connection with the URJ Greene program (the "Materials") and all rights therein and thereto including, without limitation, the right to use the Materials and the Participant/s Likeness in any and all media now known or hereafter devised worldwide, in perpetuity. The Participant/s further agrees that URJ Greene may use the Participant’s Likeness and the Materials in connection with any promotion, publicity, marketing or advertisement for URJ Greene the URJ and URJ Partners and affiliates including live video and audio broadcasts. The Participant/s releases from any and all liability arising out of the use of the Participant’s Likeness and/or the Materials. The Participant/s agrees not to make any claim against URJ Greene as a result of the recording or use of the Participant’s Likeness and/or the Materials (including, without limitation, any claim that such use invades any right of privacy and/or publicity).
Except with the respect to the sole negligence of the URJ and its employees, the undersigned Participant/s hereby release, discharge, and hold harmless URJ Greene, the URJ and their employees from any and all claims, lawsuits, or other legal causes of action, which relate to the undersigned Participant’s participation in a URJ Program, URJ Greene, URJ Greene events and programs, and the Participant’s travel to and from URJ Greene, such events and programs, and related activities.