As a parent or legal guardian, by completing the form below, I grant authorization to any adult representing Chabad Social Circle to arrange hospitalization or seek necessary treatment for my child. Additionally, I commit to covering all associated costs for the provided care and/or treatment. I acknowledge that if the situation allows for it, Chabad personnel will make an effort, though not an obligation, to contact me before taking such action.

By enrolling my child, I grant permission for their participation in all trips and activities. I also authorize the capturing of photographs and videos of my child, understanding these may be used for promotional purposes.

I acknowledge that Chabad Social Circle cannot be held liable for program rescheduling, modifications, injuries, misrepresentations, fairness concerns, or any related matters. This includes any legal protections within the state of Florida.