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Birthday Party Guest Info & Waiver
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Email *
Whose party are you attending? *
Parent First Name  *
Parent Last Name *
Phone # *
Email *
Child Name *
Child DOB *
MM
/
DD
/
YYYY
Child Gender *
Child Preferred Pronouns *
Child Emergency Contact Name and Relationship *
Emergency Contact Phone  *
How did you hear about us? *

Please read this form carefully and be aware that in signing up and participating in this program/activity, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with this program/activity (including transportation services/vehicle operation, when provided). I recognize and acknowledge that there are certain risks of physical injury to participants in this program/activity, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in this program/activity against NorthShore Elite Talent Company, LLC, including its officials, agents, volunteers and employees (hereinafter collectively referred as “the Company”). I do hereby fully release and forever discharge the the Company from any and all claims for injuries, damages, or loss that my minor child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with this program/activity. I understand that photos and videos are periodically taken of people participating in Company programs and activities and I agree that any photograph or videotape taken by the Company of me or my minor child/ward while participating in a park district program or activity may be used by the park district for promotional purposes including its electronic media, videotapes, brochures, flyers and other publications without additional prior notice, permission or compensation to the participant. I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims as well as the general registration policies. If registering via e-mail or online, my electronic signature shall substitute for and have the same legal effect as an original form signature.

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Please sign waiver below (Type Full Name) *
A copy of your responses will be emailed to the address you provided.
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