Adult Registration & Permission Form for Love Our Neighbors Service Day 2019
This form should be filled out by volunteers ages 18 and up.
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ای میل *
I acknowledge that my participation in Love Our Neighbors Service Day is voluntary and may result in personal injury or property damage. I understand and assume all risks relating to participation in this event and agree that Jewish Teen Initiative of Greater Boston (JTI) and its employees, directors, officers, agents, representatives, independent contractors, licensees and sponsors (collectively, the “Releasees”) shall not be responsible for any personal injury, property damage and/or other loss suffered as a result of my participation in any of the individual activities (an “Injury”). I understand by signing below, and in consideration of being permitted to participate in the volunteer activities, I forever release each of the Releasees from any and all liability arising from an Injury. *
Type your name to sign *
I understand that my picture may be taken at this event, and that it may appear on the JTI website, social media or in a brochure *
Participant's First Name *
Participant's Last Name *
Home Address (address, town, state, zip code) *
Participant's email address *
Participant's phone number
Emergency Contact Name *
Emergency Contact Number *
Are there any special medical or dietary concerns or limitations to your full participation in this program? (All information is completely confidential.) *
Synagogue affiliation (if any) *
 Are you interested in helping run this event? *
How did you hear about this event? *
Thank you for registering!  We look forward to seeing you at Temple Beth Am, in Framingham, at 9:00 AM, on Sunday, October 27!
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