I agree that if my child is dismissed from the trip for disciplinary reasons, the return transportation home will be at my expense, and there will not be any refund of the $300 refundable deposit or any of the other fees. I will be responsible to reimburse the entire $5,000 subsidy for the March of the Living Trip to Lappin Foundation within 30 days of my child's return home.

To accept and acknowledge that you understand, please check this box, sign, and date this form.

Teen's Name (Full Name)

E-Signature of Parent/Guardian

Parent Email

Date

By selecting "We Accept" using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing. We Accept

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