Accident: As the parent(s) or legal guardian of [child(ren) listed], I/we authorize any adult acting on behalf of Chabad of Danville & S Ramon to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad personnel will try, but are not required to communicate with me prior to such treatment.  

Trips & Outings: I hereby give permission for my child to attend and participate in all trips and outings organized as part of the program.  

Privacy: I hereby give permission for my child’s photographs/videos to be used for educational or promotional purposes, which include but are not limited to, brochures, website and social media. I understand that I can withdraw my consent at any time.