Baby & Me Blooming Babies

Your Information

I AGREE TO THE FOLLOWING:

In enrolling my child in the Adolph and Rose Levis Jewish Community Center’s Early Childhood program, I authorize the officials of the Adolph & Rose Levis JCC to act for the parents while my child is in their care. This includes the power to authorize emergency medical treatment, when it is deemed necessary in my child’s best interest.

Participation in any Adolph & Rose Levis Jewish Community Center activities and use of any recreational facilities involves risks of accidental injury despite all safety precautions. Having been informed of the activities to be conducted by the Adolph and Rose Levis Jewish Community Center, I/we as an individual or as parent or guardian of the participants named herein, assume all risks and hazards incidental to the activities and release from responsibility and agree to indemnify and hold harmless the Adolph & Rose Levis Jewish Community Center, its’ officers, directors, independent contractors, volunteers, and all employees for any illness or injury to me or my children or family members occurring during his/her/our participation in any activities or use of any facilities at or conducted by the Adolph and Rose Levis Jewish Community Center.

Siblings: Our classes are filled to capacity and in consideration of Baby & Me participants, we ask that no siblings be brought to Baby & Me classes.

I give permission to use photographs of my child and myself for marketing purposes.

I give permission for my name, telephone number and email address to be included in the class list that will be distributed to the class.