B'mitzvah Program Registration Form

Parent/Guardian Information






Child Information








Optional Demographic Questions
We are committed to continuously working toward our inclusivity to people of all backgrounds and create more safety in our programs for those who have historically been oppressed and underrepresented. We do not discriminate based on race/ethnicity, gender, sexual orientation, spiritual practice/religion, or socio-economic status.

First-timers: We ask several demographic questions, which you'll find below. Your responses help us serve the needs of our community and give anonymous information to funders who support our work to make these spaces as inclusive as possible.













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Cancellation Policy

Liability Release Agreement
Our mentors are trained and responsible leaders and will create an experience that is as safe as possible to avoid injuries. Not withstanding, because of the nature of this program there are risks that could result in injury. Risks include slipping and falling, falling objects, fire, water hazards, exhaustion, hyperthermia, sunburn, insect bites, hazardous plant life, sharp knives, and improper lifting or carrying.

Our staff seek safety, but are not infallible. Please inform us of all medical conditions and of the physical fitness of your child so that we can assess what the group is capable of. It is still possible that staff could misjudge a participant’s fitness or abilities, the weather or other environmental conditions and may give incomplete warnings or instructions.

I agree and promise to accept and assume all of the risks existing in this activity. I voluntarily enroll my child in this program in spite of the risks. I release, forever discharge, and agree to indemnify and hold harmless Adamah Inc. and Wilderness Torah, and their employees, of any and all claims, demands, or causes of action, which are in any way connected with my child’s participation in this activity.

I certify that I have adequate insurance to cover any injury or damage my child may cause or suffer while participating, or else I agree to bear the costs of such an injury or damage myself. I will read and understand this document, and I agree to be bound by its terms.

I ACKNOWLEDGE that the program my child and I are going to participate in involves risk and dangers of death, serious injury, property damage, and property loss. I hereby assume all the risks for myself or my child participating in the event, regardless of their cause. I promise that I and my child will participate in a safe and prudent manner, so as not to endanger others, my child, or myself. In consideration of being permitted to participate in the event, I, for myself, my child, my personal representatives, my administrators, my heirs, my next of kin, my survivors, my successors, and my assigns:

HEREBY DISCHARGE, COVENANT NOT TO SUE, and RELEASE Adamah Inc., Wilderness Torah, and/or their administrators, directors, agents, officers, members, volunteers, representatives, and employees, other participants, any sponsors, funders, advertisers, vendors, manufacturers and, if applicable, owners and lessors of premises on which the event takes place, (each considered one of the “RELEASEES” herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this Agreement I, or anyone on my behalf, makes a claim against any of the Releases, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which any may incur as the result of such claim. Moreover, if any disputes arise under or relate to this Agreement or the event, they will be brought exclusively in a state or federal courts in the State of California, Alameda County, and this Agreement shall be governed by and construed and enforced in accordance with the laws of the State of California, without giving effect to the conflicts of laws principles thereof.
CONSENT to allow medical treatment that may be deemed advisable as a result of any injuries I or my child receives during the event and agree that I am solely responsible for all costs, including diagnosis, treatment, medical transportation, and evacuation, that may become necessary for me, my child or another person as a result of any of my or my child’s actions during the event.
AGREE that any photographs and video footage taken of me and my child during the event, as well as any testimonials written by me or my child, may be printed, reproduced and published in any manner anywhere without any further consent by me or my family members and without any compensation to me.
ACKNOWLEDGE that the program does not provide transportation to and from camping sites, that any carpool arrangements among participants and/or staff are not part of the event, and I assume the all risks of any such transportation.
AGREE to the following Behavioral Guidelines for this program:
Participants must take responsibility for their safety by carefully listening to rules and following instructions. Unsafe behavior, failure to follow instructions, or extremely disruptive behavior may result in dismissal from the program.
Use and/or possession of firearms, firecrackers, drugs, alcohol, tobacco, and unapproved knives, matches, lighters, or other items deemed dangerous is strictly forbidden.
Participants may not damage Adamah Inc. or Wilderness Torah property or the personal property of others.
CERTIFY that I have read this document, understand its contents in their entirety, understand that I have given up substantial rights by signing it, and have executed this document below freely and without reservation or duress and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this Agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.
I understand that by choosing to leave my child under the supervision of another adult (with their express agreement), I take full responsibility for my youth participant and as enumerated above in Sections A through F, and assume all risks for my youth participant.

Adamah Photography / Social Media Waiver

Pricing and Payment
Our $3,600 - $6,500 sliding scale allows families with different financial circumstances to access this experience.

For many families, this program serves a role similar to what synagogue membership and community support might provide elsewhere: mentorship, Jewish learning, ritual leadership, and guidance through this important milestone. We ask each family to choose a contribution level that reflects both their financial circumstances and the role this program plays in their Jewish life.



We are able to offer this equitable registration system due to the generosity of our donors and participants. If you are able, we welcome donations of any size to subsidize this program.




Credit Card Information






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