ORTHODOX UNION/RCA
Solidarity Mission to Israel
January 19-27, 2002

WAIVER OF LIABILITY
(A form must be completed for EACH traveler)

We are delighted that you are joining us on our Solidarity Mission to Israel. As the State Department has issued a travel warning that recommends American avoid traveling in Israel, we ask that each traveler sign this waiver of liability. This form must be witnessed by someone other than a family member indicating name and address. Notarization is not necessary. We cannot issue tickets until we receive your liability waiver back by fax to 212-613-0629, or by mail to Israel Solidarity Mission, Department of Synagogue and Community Services, Orthodox Union, 11 Broadway, New York, NY 10004.

Name of Traveler:______________________________________________________

WHEREAS, the ORTHODOX UNION is assisting in organizing a solidarity mission to Israel during the year 2002; and 

WHEREAS, the undersigned wishes to participate in connection therewith; and 

WHEREAS, the U.S. State Department has indicated that travel to Israel, the West Bank and Gaza may be dangerous, and 

WHEREAS, the parties wish to clarify their understanding regarding these matters. 

NOW, THEREFORE, it is agreed: 

1. The undersigned, by signing a copy of this document acknowledges that he (they) is (are) aware of the State Department’s official warning regarding travel to Israel, the West Bank and Gaza.

2. The undersigned hereby agrees to release the ORTHODOX UNION from any liability in connection with the undersigned’s trip to Israel.

3. The undersigned agrees that all of the travel plans and arrangements are being made solely as an accommodation by the ORTHODOX UNION without any warranties or liabilities.

________________________________________________________________________ 
Signature of Traveler                               Signature of Witness ________________________________________________________________ 
Signature of Parent for Minor                   Print Name of Witness

Address of Witness_______________________ Phone number of Witness_________