Waiver of Liability and Parental Consent:
I hereby acknowledge that the Jewish Federation of Lane County has no responsibility or liability at all for any aspect of the program in which my student will be participating, and I do hereby release them, their officers, board members, members, staff, agents, and affiliates and agree to indemnify, defend and hold them harmless from and against any and all liability for any injury, loss or claim which may occur as a part of or resulting from any aspect of the program for which the grant monies will be used.
I understand that receipt of a grant is contingent upon acceptance to the program to which I have applied.
In the event that my child voluntarily withdraws before the end of the camp session or is involuntarily terminated due to a rules violation or behavioral problem, I understand that it is my responsibility to reimburse the Jewish Federation for the full amount of my grant award. If withdrawal is due to medical, national or family emergency, the JFLC will consider a waiver.
I understand that the grant funds will be made payable directly to the program’s billing office as indicated on the tuition statement.
I hereby give my consent to have my child apply to the Jewish Federation of Lane County for a grant and do hereby agree to abide by all the rules and conditions governing this grant program. I agree to be bound by the terms of the “Waiver of Liability” section set forth above.
I attest that the information in this application is true and accurate.