Please fill up this form and mail it to:
Jewish National Fund
22148 Sherman Way, Suite 206
Canoga Park, CA 91303
Children under 18 free - Adults $18
Name: __________________________________________
Address: _______________________________________
City: ______________________________Zip: ________
Phone: (H) ________________(O) ___________________
E-mail Address: __________________________________
Affiliation: (youth group, school, synagogue)
_______________________________________________
I cannot join the “Walk”. Please accept my enclosed gift of:
$_________________
(Please circle one) MC Visa Amex Discover
Card #_____________________________Exp. Date: ________
Please make checks payable to: Jewish National Fund
WAIVER OF LIABILITY
I agree to participate in the Jewish National Fund “GoNeutral Walk 2008 formerly known as "Walk for Water"
” and hereby signify that I understand that the Jewish National Fund of America , it’s local region and all other persons and organizations connected with this event are not to be held responsible for any injuries/illness which I might suffer while participating in this event. I hereby waive any claims or damages to which may occur during participation in this event. I also hereby agree to allow any use of photographs, video or audio recordings of this event for legitimate purposes of the Jewish National Fund.
Signature:
______________________________________________________
(Parent or guardian if participant is under 18 years of age.) |
