It is understood that neither the staff of Shir Ami nor the volunteering parents are expected to administer emergency medical care to any member or guest of SHAFTY.

List allergies   1 2 3 4

It is also understood that if a volunteering parent or staff member of Shir Ami administers emergency medical treatment to a member or guest of SHAFTY, then neither the volunteering parent nor the staff member of Shir Ami shall be held liable

Parent 1 Name   
Parent 2 Name   

I hereby acknowledge and agree to said policy.

Special custody arrangements
Please submit a copy of signed Court Order)