Baby Room Registration

I give my children listed above permission to attend all programming sponsored by Skokie Valley Agudath Jacob Synagogue and Kol Sasson Congregation on Shabbat. While I understand that the Skokie Valley & Kol Sasson Youth Department strives to maintain a safe environment for its participants, I also understand that there are inherent risks in some of the activities with which my child may be involved. Accordingly, I, on behalf of myself and my minor child, agree that the Skokie Valley & Kol Sasson shall not be legally responsible for my child’s personal health, or any injury of any kind. I hereby release the Skokie Valley & Kol Sasson, its partnering agencies, volunteer locations and the staff of any of these organizations from any liability to me, any member of my family, or my property arising from or in connection with Skokie Valley & Kol Sasson youth programs or activities. In the event of an emergency, I give permission to Skokie Valley & Kol Sasson to facilitate proper medical care as it deems reasonably necessary while efforts are made to reach me. In the event there is a claim against Skokie Valley & Kol Sasson as a result of any conduct of my child, I agree to indemnify and hold Skokie Valley & Kol Sasson harmless from such claim even if such claim is alleged to arise in whole or in part from the negligence of Skokie Valley & Kol Sasson or any of its agents, staff, or employees.

Please electronically sign your name below.