General Release Form

Full Name of Participant (one per each participant)

Thank you for enrolling in the 2012 Adult BJE March of the Living. Travel and land arrangements in connection with this program are made through “March of the Living,” not an affiliate of BJE. In consideration of BJE accepting your application, you, the undersigned Participant (“Participant”), acknowledge and agree on your part and on behalf of heirs, family members, successors, guardians or legal representative, estates, trusts, trustees, agents and assigns, to hold harmless and waive any and all claims against BJE, any of its officers, directors, trustees, employees, agents and/or volunteers, and/or any of their respective heirs, family members, successors, guardians or legal representatives, trusts, trustees and estates (collectively “Released Parties”), arising out of ordinary negligence and related to or arising from participation in the March of the Living, including all transportation to and from and while in Israel, Poland, and the United States. This hold harmless agreement includes claims related to personal injury, emotional distress, wrongful death, damage to personal property, or any other claim arising out of ordinary negligence that may be raised by Participant.

BJE does not carry or maintain any health, medical, disability, damage or other liability, insurance coverage or life insurance for the benefit of Participant, and expressly disclaims any responsibility or obligation to do so.
    
It is understood that BJE and Released Parties are not agents of, and have no responsibility for, any third party that may provide any services, equipment, training, transportation, or activities associated with the March of the Living, or in connection with travel to, in and from Israel, Poland, and the United States.

If any person and/or entity including the Participant asserts any demand, claim and/or cause of action of any type and nature against the Released Parties, for any injury, loss, death or damage that the Participant or any of them allegedly suffers from or causes as a result of  Participant’s participation in the March of the Living program, Participant agrees to indemnify and hold the Released Parties, and each of them, harmless from and against any and all such claims, demands, damages, costs, including reasonable attorney’s fees, and Participant will: (1) pay for all costs of defense, including but not limited to attorney’s fees and costs, of the Released Parties against whom such claims are made; (2) pay any settlement, arbitration award or judgment assessed against the Released Parties; and (3) hold the Released Parties completely and entirely harmless from any such claims, demands, lawsuits, settlements, arbitration awards or judgments.

Participant acknowledges and agrees that the terms, conditions and enforcement of this agreement shall be governed by the laws of the State of California.  Participant  

acknowledges and agrees that any dispute regarding the terms, conditions or enforcement of this agreement shall be governed by the laws of the State of California.  Participant acknowledges and agrees that any claim or dispute arising out of this agreement including claims for injury, damage, loss or death suffered by Participant, arising out of or relating to participation in the March of the Living, or transportation to and from and while in the program shall be governed by the laws of the State of California. Participant further agrees and acknowledges that any suit, action, or proceeding brought to enforce or arising under this agreement including claims for injury, damage, loss or death suffered by Participant arising out of or relating to participation in the March of the Living, and transportation to and from and while in the program, may only be brought (i.e., venued) in the State of California, County of Los Angeles, and the Participant expressly waives the right to assert jurisdiction or venue in any other location than the State of California, County of Los Angeles.

The releases and covenants not to sue set forth above apply to any claims, injuries, losses or damages arising by reason of any delay, modification, curtailment or cancellation by either party, in whole or in part, of any of the arrangements pertaining to, or services to be provided for, or facilities to be furnished in connection with  participation in the March of the Living.

Assumption of Risks:  In October 2010 the United States Department of State alerted U.S. citizens to the potential of terrorist activities in Europe.  No specific travel warnings are in effect at this time, relating to Poland.  The Department of State has also issued travel warnings regarding travel to Israel. BJE encourages Participants to consult the State Department’s website, http://travel.state.gov to keep current with respect to the any travel alerts or warnings.  I acknowledge and expressly assume all risks and dangers associated with all trip activities, whether described above, known or unknown, and inherent or otherwise.  I take full responsibility for any injury or loss, including death, which may arise in whole or in part from participation in the activities of the trip.

It is understood and agreed that designees of the Director of March of the Living may photograph, film, videotape, audiotape or reproduce written materials of Participant for use in publications and publicity.

Participant has consulted a physician of Participant’s own choice and has been advised by such physician that Participant is in good health, does not suffer from any physical or mental ailment or disability which requires medical or surgical care or treatment, or which would make Participant's travel to or from Israel or Poland or Participant's sojourn in Israel or Poland and/or participation in the March of the Living hazardous, unwise, unwarranted or a potential source of danger to Participant or others who may travel, be sheltered, or participate in the March of the Living with Participant.  

Participant’s Electronic Signature                        Date   [None]   

By entering my name as an electronic signature in the provided space, I am confirming that I have received, read, understood, and agreed to the information and conditions outlined in this document.