APPLICANT AGREEMENT AND UNDERSTANDING
By placing your name below you understand you are providing medical and other information to the providers of the local March of the Living group, International March of the Living and Jewish Federation of Broward County. The undersigned represents that all of the information contained in such forms is true and correct. All medical conditions and medications are true and correct. Omissions or misstatements are at my risk and that of my physician(s) or therapist(s). The undersigned hereby authorizes the leadership of the March of the Living and/or its providers to obtain treatment as it, in its sole and absolute discretion, deems necessary and advisable. The costs of any medical treatment provided shall be the responsibility of the undersigned.
The undersigned agrees to hold the International March of the Living, Inc. ("March"), the Jewish Federation of Broward County, as well as any other organization, their staff and/or volunteers harmless from any claim, loss, damage, bodily injury, personal injuries, including emotional trauma, known or unknown, death, liability or expense (including attorney's fees) which the undersigned might sustain/alleged sustain or incur/alleged incur in connection with, as a result of, or by reason of their participating in the March or any of the activities relating thereto, whether based upon the negligence or breach of contract by any of the above mentioned organizations/agencies of their representatives.
The organizations sponsoring the March operates the tour offered under this program only as agents of the airline, bus operators, hotel facilities, and others which provide the actual arrangements, and are not liable for any act of omission, delay, injury, loss, damage or nonperformance occurring in connection with these arrangements.
It is further noted by the undersigned that while all food on the March of the Living is kosher, we cannot always provide for all special dietary needs.
Terms and Conditions:
By signing below, I agree to abide by all rules and regulations as set forth by the Broward County March of the Living, International March of the Living or the Jewish Federation of Broward County.
I further acknowledge the information contained in this application is correct and truthful. All information will be used in conjunction with the March of the Living program.
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