Jun
    19
    Readers Club

    Join our readers club via Zoom on the third Wednesday of every month. Connect with others and some great books!

  • Jun
    30
    Mah Jongg Tournament

    Join us for our next Mah Jongg Tournament sponsored by Valley JCC and The Village at Northridge!

  • Jul
    17
    Readers Club

    Join our readers club via Zoom on the third Wednesday of every month. Connect with others and some great books!

2024 JCC MACCABI GAMES INTEREST / PARTICIPATION FORM

Please fill in the form below to indicate your interest in participating in the 2024 JCC Maccabi Games in Detroit!

"*" indicates required fields

Name (Participant)*
Address*
MM slash DD slash YYYY
Gender Identity*
Parent/Guardian Name(s)*
I am interested in the Following Sport
PARENTAL CONSENT, WAIVER OF LIABILITY AND MEDICAL RELEASE In consideration for being permitted by Valley Jewish Community Center (VJCC) to participate in any and all of their activity/program offerings including the 2024 JCC Maccabi Games, I/We, the parent(s) or guardian(s) of the above-named child (“Participant”) hereby give my/our approval to his/her participation in any and all of the activities during tryouts, training sessions, events, travel, housing and games. I/We assume all risks and hazards incidental to the conduct of the activities, and I/We hereby waive, release, and discharge any and all claims for damages for personal injury, death, or property damage which we may have, or which may here after accrue to us, as a result of the above-named child’s participation in said activities. I/we state that the above-named child is physically able to participate in all VJCC activity/program offerings. This release is intended to discharge in advance VJCC (including their officers, employees, volunteers, coaches, delegation administrators, organizing committee members, sponsors, and agents) from any and all liability arising out of or connected in any way with the above-named child’s participation in VJCC programs/activities, even though that liability may arise out of active or passive negligence or carelessness on the part of the persons or entity mentioned above. It is further agreed that this waiver, release, and assumption of risk is to be binding on my heirs, administrators, executors, and assigns, and that I/we shall indemnify and to hold the above persons or entity (including their officers, employees, volunteers, coaches, delegation administrators, organizing committee members, sponsors, and agents) free and harmless from any loss, liability, damage, cost, or expense which may arise out of or is connected in any way with the above-named child’s participation in VJCC programs/activities. Additionally, I/we fully understand that the above-named child’s participation in the VJCC activity/program offerings exposes them to risk of personal injury, death, communicable diseases, illnesses, viruses, and/or property damage. I/we hereby acknowledge that the above-named child is voluntarily participating in the VJCC activity/program offerings and agree to assume any such risk. I /We understand VJCC retains the right to use photos/video taken during activities for publicity or promotional purposes and hereby grant VJCC permission. I/We understand that VJCC has a code of conduct and agree to abide by its conditions. COVID-19: The VJCC cannot guarantee, warrant, or protect you and/or your Child from contracting the COVID-19 infection or related illness through participating in VJCC activity/program offerings. Moreover, it is possible for you and/or your Child who participates in VJCC activity/program offerings to potentially infect others, including family members, who may be at high risk for severe illness due to COVID-19. Additionally, there may be risks that cannot be determined until more information is known about the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and COVID-19. I/We understand that SARS-CoV-2, the virus that causes COVID-19 is highly infectious, and thought to spread mainly from person to person through respiratory droplets produced when an infected person coughs or sneezes or by touching a surface or object that has the virus on it and that persons infected with COVID-19 may spread the virus when they are not showing any symptoms, which makes it more difficult to control the spread of COVID-19. I/we also understand that participating in VJCC activity/program offerings may increase participant’s risk of exposure to COVID-19 and my and/or my Child’s risk of contracting COVID-19 and transmitting COVID-19 to family members and others. I/we further understand that COVID-19 is associated with a serious and potentially deadly condition called Multisystem Inflammatory Syndrome in Children (MIS-C). A link to current CDC information regarding COVID-19 can be found here: https://www.cdc.gov/coronavirus/2019-ncov/index.html. A link to local Los Angeles County health information about COVID-19 can be found here: http://publichealth.lacounty.gov/acd/ncorona2019/. It is my responsibility to review this information and determine the risks for me and/or my Child. I understand that there is currently no vaccine to prevent COVID-19, and public health officials from the CDC, the state of California, and Los Angeles County maintain that the best way to prevent contracting COVID-19 is by avoiding exposure to the virus, including by maintaining a physical distance of at least six (6) feet from others, and avoiding gathering in groups. I also understand that participating in VJCC activity/program offerings, I/we and/or my Child may be gathering in a group and may be unable to maintain a physical distance of at least six (6) feet from others at all times. I/WE HAVE CAREFULLY READ THIS AGREEMENT, WAIVER, AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I/WE AM/ARE AWARE THAT THIS IS A RELEASE OF LIABILITY AND I/WE SIGN IT OF MY/OUR FREE WILL.
Player Name*
By typing your name below you are indicating you have read the above Parent Permission form, liability waiver, and release.
Parent/Guardian Name*
By typing your name below you are indicating you have read the above Parent Consent form, waiver of liability and medical release.
Hidden
Waiver**

Please click the submit button only once to avoid duplicate charges / submissions. Sometimes it takes a minute or two to process.
This field is for validation purposes and should be left unchanged.