VERNON HILLS PARK DISTRICT PROGRAM MANDATORY WAIVER, RELEASE OF ALL CLAIMS & CONSENT TO BE PHOTOGRAPHED/VIDEOED
Please read this form carefully & be aware that, by registering for, & for participating in, Vernon Hills Park District ("District") programs, you are releasing all claims for injuries arising out of these programs that you or your minor child or ward who is a named participant might sustain. In registering for these programs, you are agreeing as follows:
As a participant (or the parent or guardian of a minor participant) in these programs, I recognize & acknowledge that there are certain risks of physical injury, & I agree to assume the full risk or any damages or loss which I (or my minor child or ward) may sustain as a result of participating, in any manner, in any & all activities connected with or associated with such programs. I further recognize & acknowledge that all athletic activities involving strenuous exertion or potential body contact are hazardous recreational activities & involve substantial risk of injury.
I agree to release, waive & relinquish any & all claims I (or my minor child or ward) may have as a result of participating in these programs against the District, any & all other participating or cooperating governmental units, any & all independent contractors, officers, agents, servants & employees of the governmental bodies & independent contractors, & any & all other persons & entities of whatever nature, that might be directly or indirectly liable for any injuries that I (or my minor child or ward) might sustain as a result of participating in these programs, the District provision of, or failure to provide, proper instructions or supervision, the use & adjustment of any & all machinery, equipment, & apparatus, & anything related to my use (or the use by my minor child or ward) of the services, facilities, or premises involved in these programs, & transportation to and from any events.
I understand the nature of the programs for which I am registering, either individually or on behalf of my minor child or ward, & have read & fully understand this Waiver & Release of All Claims. I further understand that any advisements or warnings of the particular risks of these programs that I or my minor child or ward subsequently receive, will be incorporated by reference into & become a part of this Agreement.
I acknowledge that the District staff may photograph/video participants in District programs, classes or events & that the District may publish any of these photographs/videos in its catalogs, brochures, pamphlets, flyers, on its website & via social media. I hereby consent to the District taking & publishing photographs/video of me or my minor child or ward
By signing below, I hereby agree that I have read & understand the above "Mandatory Waiver, Release of All Claims & Consent to be Photographed/Videoed," I confirm that my contact information listed above is correct, & I authorize the Vernon Hills Park District to charge my credit/debit card for the amount of the program.