Waiver – Adult URLThis field is for validation purposes and should be left unchanged.This field is hidden when viewing the formContact IdMasa Participant NumberFull NameSessionEmailDateThis field is hidden when viewing the formProgramThis field is hidden when viewing the formOrganizerThis field is hidden when viewing the formCitizenshipThis field is hidden when viewing the formPassportThis field is hidden when viewing the formDepartOnThis field is hidden when viewing the formDeparture CountryTo: Masa Israel Journey (Masa: The Project for the Encouragement of Long Term Programs in Israel for Jewish Young Adults Ltd.) (Hereinafter: "Masa"): Waiver and Release of Liability – Declaration and UndertakingI, the undersigned , citizen, Passport No. hereby confirm and declare and undertake as follows: 1. I am an adult, participating in – Masa program operated by the organizer , (Hereinafter: "The Program"). In light of this period, in which war is underway in the region and Israel's airspace is closed for obvious reasons, I have voluntarily and on my own initiative requested to end my participation in the program ,with all that this implies and/or I had or about to finish my participation in the program ; and I have also requested that Masa assist me in leaving Israel. 2. I hereby declare, undertake and know that Masa was able to find me a place on a chartered flight, which is scheduled to depart on together with other participants, to – and that Masa had no obligation to do so and that it and/or anyone on its behalf has no liability of any kind in this matter. 3. I am aware that Masa acted in this manner above and beyond the call of duty and without being obligated to do so. I am aware and agree that from the moment I board the plane, Masa and/or anyone on its behalf and/or the organizer will no longer have any liability towards me. I undertake to indemnify Masa and/or anyone on its behalf for any amount that it will be required to pay for a claim filed in this matter by and/or anyone on my behalf and/or by any third party; provided that you notify me of receipt of such a claim. 4. I know that Masa and the Jewish Agency made a great effort to arrange a place for me on the flight, and therefore I undertake to show up on time for the flight and board it. In addition, I undertake not to publish any details about the flight or upload any details about it on social media, after the security considerations involved have been explained to me. 5. I undertake to obey and follow the instructions of all the rules used during the flight, the Program's and/or the Jewish Agency's and/or Masa’s representatives, Israeli border authorities, and immigration authorities, and the flight crew; and it is clear to me that I will bear any damage and/or consequences that may result from inappropriate behavior on my part, while Masa and/or anyone on its behalf does not and will not have any liability of any kind in this regard. 6. I know and agree that Masa and/or anyone on its behalf has no responsibility of any kind whatsoever regarding the flight and that, among other things, I must ensure that I insure myself accordingly; I also know and agree that upon the plane's arrival in – I must manage on my own, whether I decide to stay in or whether I decide to go home or any elsewhere, and that Masa and/or anyone on its behalf has no responsibility and/or obligation to take care of my personal needs and/or to find me onward transportation, accommodation a flight and/or voyage and/or any other means. 7. I undertake not to make any demands and/or claims of any kind against Masa and/or anyone on its behalf. For the avoidance of doubt, it is clarified that the term 'Masa and/or anyone on its behalf' includes, among others, the Jewish Agency and/or the Government of Israel and/or any federations (hereinafter: "the Released Parties"). 8. I hereby assume all of the risks of participating in all activities associated with this trip, including by way of example and not limitation, any physical or property-related risks that may arise from negligence or carelessness on my part. 9. I hereby waive, release and discharge the Released Parties of all claims, beneficiary claims included, or compensation of any kind, including expenses of any type, past, present or future, that arise or will arise, directly or indirectly, as a consequence of my decision to take the trip to . I hereby waive, release and discharge the Released Parties, from any or all liability and\or causes of action of any kind, which I (or anyone acting on my behalf) might raise against them and that arise and\or will arise directly or indirectly, as a consequence of my decision to take the trip to . 10. I hereby declare that I will indemnify and hold harmless the Released Parties from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees brought as a result or in connection with my decision to take the trip to . By signing this waiver of liability and release, I acknowledge that I have read and understood this document and I fully agree and understand all terms and conditions.(Required) Sign