Please read the disclaimer below:

1. By completing registration for the Mikva Challenge summer conference, I consent and allow interviews, quotes, and photographs, movies, and videos from this event to be used by Mikva Challenge. I also grant Mikva Challenge the right to edit, use, and reuse said products for purposes including use in print, on the internet, and all other forms of media. I also hereby release Mikva Challenge Grant Foundation and its agents, volunteers, officers and directors and employees from all claims, demands, damages, costs, expenses, injuries and liabilities whatsoever in connection with the above. I understand that all work produced as part of my involvement with Mikva Challenge is the property of Mikva Challenge and may be featured on the Mikva Challenge website or in other published work. I hereby give permission for my writing, interviews, work-product and full name to be featured in any Mikva Challenge programs, website, newsletter, and to be used or published by Mikva Challenge for as long as the program deems appropriate and in any manner the program deems appropriate. 
2. I consent to participate in interviews regarding my experiences or views, which may be conducted and recorded or videotaped by Mikva Challenge and/or the media. I understand that any such recordings or videotapes are the property of Mikva Challenge and/or the media and hereby give permission for the broadcast or other publication of any such recordings or videotapes for as long as the program deems appropriate and in any manner Mika Challenge deems appropriate. 
3. I give permission for photographs and videos of me to be used in promoting and documenting Mikva Challenge, or such other purposes as Mikva Challenge deems appropriate, for as long as the Mikva Challenge deems appropriate and in any manner Mikva Challenge program deems appropriate. I understand that all work, once submitted, becomes the property of the Mikva Challenge Grant Foundation and may be used in promoting and documenting the program. 
4. If unforeseen circumstances do not allow you to attend, please notify Mikva Challenge staff as soon as possible. Mikva Challenge will not be responsible for the cost of travel and accommodations if you are unable to attend.

If you are unable to agree to these terms, but would still like to attend, please reach out to kayla@mikvachallenge.org

Payment Details

*If you plan to pay via check, please contact us directly:
kayla@mikvachallenge.org