2024 HS Classes/Activity- Leader Registration/Request for Approval Form

To be filled out by the Class Coordinator/Guru/Lead Instructor ONLY

Hindu Samaj-Jain Temple & Cultural Center

3 Brown Road, Wappingers Falls, NY 12590
Phone: 845-657-1660

Website: www.hindusamajtemple.org

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Email *
Instructor Name *
Phone Number *
Brief biography *
Class name / Description *
Preferred Day (s) and Time *
Duration (weeks or months) *
Pre-requisites (if any) *
Maximum number of participants *
Instructor Experience (summary) *
Description of teaching philosophy *
What materials / resources are needed for the class? *
Availability for meetings / consultation / classes *

Terms and Conditions:

●       I understand that class scheduling is subject to approval by the temple/cultural center.

●       I agree to adhere to the rules and guidelines set by the temple/cultural center for instructors.

●       I grant permission to the temple/cultural center to use my name and photograph for promotional purposes related to the classes.

Signature:

By signing below, I acknowledge that I have read and agree to the terms and conditions.

*

Waiver of Liability

I,  in my full capacity as the leader of Group/Organization named below, hereby acknowledge and agree to the following terms and conditions in relation to our activities conducted on the premises of HinduSamaj-Jain Temple & Cultural Center.

I understand and acknowledge that  HinduSamaj-Jain Temple & Cultural Center has established guidelines and rules of operation for the safety and well-being of all individuals on its premises.

 I agree that it is my responsibility, as the group leader, to ensure that all activities conducted on the premises or on behalf of [Group/Organization Name] comply with the established guidelines and rules of operation of HinduSamaj-Jain Temple & Cultural Center.

 I acknowledge that any deviation from the established guidelines and rules of operation may result in increased risks and hazards to participants and attendees.

I hereby release and discharge  HinduSamaj-Jain Temple & Cultural Center, its officials, employees, and volunteers from any and all liability for any injuries, damages, or losses that may occur as a result of activities conducted on the premises or on behalf of HinduSamaj-Jain Temple & Cultural Center  that do not follow the established guidelines and rules of operation.

 I understand and agree that this waiver of liability applies to all activities conducted on the premises of HinduSamaj-Jain Temple & Cultural Center and those conducted on behalf of HinduSamaj-Jain Temple & Cultural Center, regardless of the location.

I further agree to indemnify and hold harmless HinduSamaj-Jain Temple & Cultural Center, its officials, employees, and volunteers from any claims, actions, damages, or liabilities that may arise as a result of activities conducted by [Group/Organization Name] that do not adhere to the established guidelines and rules of operation.

By filling out and signing this form, I acknowledge that I have read and understood the terms and conditions of this waiver of liability and agree to be bound by them.

*
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Hindu Samaj Inc.