Health & Wellness Event Waiver

I hereby waive or release any and all right and claims for damages or injuries (up to and including death) that I may have against the Kaplen JCC on the Palisades and its directors, officers, staff, members and agents for any and all injuries to me or my personal property. This release includes any and all injuries and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, and assignees.  

I also authorize the use of photographs or videos that include my image for promotional, informational, or other reasons deemed to be in the best interest of the event.  

I certify as a material condition to my being permitted to undertake these activities that I am physically fit and able to participate.

Waiver Certification

Name(Required)
MM slash DD slash YYYY
Name of child if signing as a parent or guardian