U. S. Holocaust Memorial Museum (USHMM) Trip Registration

Trip Date: Tuesday, March 28, 2023

Registration Deadline: Feb. 7, 2023

Each participant must complete this registration form.

Choose the appropriate ticket option to complete the form.

Please ignore the box below and the labels "complimentary" on the second and third ticket options

Valid government-issued photo ID required for travel.

ID name must match name on this registration.

CONDITIONS OF PARTICIPATION

(Please read and sign below)

JEWISH COMMUNITY RELATIONS COUNCIL
U.S. HOLOCAUST MEMORIAL MUSEUM TRIP TO WASHINGTON, D.C.
Tuesday, March 28, 2023

As a participant on the trip to the U.S. Holocaust Memorial Museum (USHMM) on March 28, 2023, I voluntarily waive all claims of whatever nature against the Jewish Community Relations Council of Minnesota and the Dakotas (JCRC), against any staff member, and/or against any member of the JCRC Board of Directors, in connection with or arising from my trip. I also grant JCRC authority to take whatever actions are warranted regarding my health and safety. This authority permits JCRC, its employees, officers and/or agents to place me, at my own expense (or at my parent’s expense), in a hospital at any point for medical services and treatment, or to place me in the hands of a local doctor for treatment at my own expense (or at my parent’s expense). JCRC, its employees, officers and/or agents, are further authorized to fly me to Minnesota at my own expense (or at my parent’s expense) for medical treatment if this is deemed by JCRC to be necessary. I hereby grant permission to the JCRC to photograph/interview me (or my child/student if under the age of 18), and I understand that this releases the JCRC from any future claims as well as from any liability arising from the use of the photograph/interview.

JCRC reserves the right to terminate my participation in this program if it deems my conduct is detrimental to the interests of the program. If participation is terminated, I understand that I will not receive a refund of any funds previously paid.

I agree that JCRC reserves the right to make cancellations, changes or substitutions in emergencies, or in the event of changed conditions. In addition, JCRC may adjust the cost prior to departure, in the event of unexpected changes in airline, bus fares, etc. The cost of the trip includes round trip airfare to/from the Minneapolis/St. Paul Airport (MSP) and Washington, D.C. (DCA), and entrance and transportation to/from
USHMM.

Cancellations on the part of participants are non-refundable after February 7, 2023

PROOF OF COVID VACCINATION AND/OR NEGATIVE COVID TEST MAY BE REQUIRED FOR PARTICIPATION