{"id":7694,"date":"2022-03-25T17:20:59","date_gmt":"2022-03-25T14:20:59","guid":{"rendered":"https:\/\/www.topaz.org.il\/%d7%98%d7%95%d7%a4%d7%a1-5-1-1-%d7%94%d7%a1%d7%9b%d7%9d-%d7%a4%d7%a2%d7%99%d7%9c%d7%95%d7%aa-%d7%9e%d7%aa%d7%a0%d7%93%d7%91-%d7%aa-%d7%94%d7%9e%d7%a9%d7%95%d7%92%d7%a8-%d7%9c%d7%9e%d7%a9%d7%99%d7%9e\/"},"modified":"2022-07-07T12:54:48","modified_gmt":"2022-07-07T09:54:48","slug":"topaz-form-no-5-3-disclaimer","status":"publish","type":"page","link":"https:\/\/www.topaz.org.il\/en\/topaz-form-no-5-3-disclaimer\/","title":{"rendered":"Topaz Form no. 5.3 &#8211;  DISCLAIMER"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7694\" class=\"elementor elementor-7694\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f4282bf elementor-section-stretched elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"f4282bf\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cb459f0\" data-id=\"cb459f0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-06a2bb1 elementor-widget elementor-widget-heading\" data-id=\"06a2bb1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">LIABILITY RELEASE FORM<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-562dfa5 elementor-widget elementor-widget-heading\" data-id=\"562dfa5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">LIABILITY RELEASE - EXPRESS ASSUMPTION OF RISK<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-36e321c elementor-button-align-center elementor-widget elementor-widget-form\" data-id=\"36e321c\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;\\u05d4\\u05d1\\u05d0&quot;,&quot;step_previous_label&quot;:&quot;\\u05d4\\u05e7\\u05d5\\u05d3\\u05dd&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"\u05d8\u05d5\u05e4\u05e1 \u05d7\u05d3\u05e9\" aria-label=\"\u05d8\u05d5\u05e4\u05e1 \u05d7\u05d3\u05e9\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"7694\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"36e321c\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Topaz Form no. 5.3 - DISCLAIMER - \u05d8\u05d5\u05e4\u05d6\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"7694\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_b7e489c elementor-col-100 elementor-sm-100\">\n\t\t\t\t\tPlease read the form below. Indicate your intention to sign this form prior to departure on the Topaz volunteer  \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-25 elementor-sm-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tassignment to\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_aa4296b elementor-col-100 elementor-sm-100\">\n\t\t\t\t\tin the framework of__where ever you may go \u2013 Poland 2022  relief operation.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_3ce6de2 elementor-col-25 elementor-sm-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3ce6de2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFrom (date):\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_3ce6de2]\" id=\"form-field-field_3ce6de2\" class=\"elementor-field elementor-size-xs  elementor-field-textual elementor-date-field\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_8ee5c66 elementor-col-25 elementor-sm-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8ee5c66\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tto (date)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_8ee5c66]\" id=\"form-field-field_8ee5c66\" class=\"elementor-field elementor-size-xs  elementor-field-textual elementor-date-field\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_ec7079e elementor-col-25 elementor-sm-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ec7079e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tI, (Participant's name)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_ec7079e]\" id=\"form-field-field_ec7079e\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_195254b elementor-col-25 elementor-sm-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_195254b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tI.D. no.\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_195254b]\" id=\"form-field-field_195254b\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_0a70ef8 elementor-col-100 elementor-sm-100\">\n\t\t\t\t\t1. understand and agree that neither Topaz nor its staff may be held liable in any way for any occurrence in connection with this program which may result in injury, or damages to me. <br>\n<br>\n2.\tIn consideration of being allowed to undertake this immersion, I HEREBY PERSONALLY ASSUME ALL RISKS in connection with the program, for any harm, damage, injury or death, which occur while I am participating in the program, including without limitation, all risks connected herewith, whether foreseen or unforeseen. <br>\n<br>\n3.\tI, as a participant, recognize and understand the risks involved and I accept these risks as my own and it is my intention, by this document, to EXEMPT AND RELEASE TOPAZ AND IT'S STAFF from all liabilities. <br>\n<br>\n4.\tI further state that I am of lawful age and legally competent to sign this affirmation and release, or that I have acquired the written consent of my parents or guardians; that I UNDERSTAND THE TERMS HEREIN ARE CONTRACTUAL and not a mere recital, and that I have signed this document of my own free will. <br>\n<br>\n5.\tI further acknowledge that this document may be relied upon in any proceedings instituted in any Court by me or my heirs, executors and assigns.  <br>\n<br>\n6.\tThe information that I have provided is accurate to the best of my knowledge. I verify that I am physically fit, not under the influence of alcohol or drugs at this time and sufficiently qualified to VOLUNTEER in  where ever you may go \u2013 Poland 2022  relief operation.\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_9d91b72 elementor-col-30 elementor-sm-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9d91b72\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_9d91b72]\" id=\"form-field-field_9d91b72\" class=\"elementor-field elementor-size-xs  elementor-field-textual elementor-date-field\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-dce_form_signature elementor-field-group elementor-column elementor-field-group-field_9c85013 elementor-col-100 elementor-sm-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9c85013\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tParticipant's signature\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Send<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>LIABILITY RELEASE FORM LIABILITY RELEASE &#8211; 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