AGREEMENT FOR ACKNOWLEDGMENT OF RISK, ASSUMPTION OF RISK, AND RELEASE OF LIABILITY, NOT TO SUE AND FOR INDEMNITY
On behalf of my family, my spouse, next of kin, successors, and heirs, I hereby understand, acknowledge and voluntarily agree that the event called Camp Chi-Cue-Go – involving crafts, indoor/outdoor games, run, walk and more – coordinated and sponsored by the Alexander Graham Bell Montessori School (AGBMS)-AEHI, Illinois School for the Deaf (ISD), National Cued Speech Association (NCSA), scholarship providers, stakeholders, members, owners, officers, directors, and persons associated with the organizations, involve certain risks which may cause bodily damage, injury, illness – or in extreme case – permanent trauma or death. I assume the risks of all activities during this event and other risks not specified or identified. I relieve AGBMS-AEHI, ISD, NCSA, and any other entity working in conjunction with Camp Chi-Cue-Go of any responsibilities or duty it may have to protect my family and me from all such risks. I agree that I am responsible for my child and his/her safety. I am responsible for my child’s safety at Camp Chi-Cue-Go and will not hold Camp Chi-Cue-Go or any of the above mentioned sponsors/stakeholders responsible for any injury or risks. In addition, I expressly surrender and release AGBMS-AEHI, ISD, NCSA, Camp Chi-Cue-Go, and any other entity working in conjunction with Camp Chi-Cue-Go from any and all claims I may have including the right to file a lawsuit or make any demand of the AGBMS-AEHI, ISD, NCSA, Camp Chi-Cue-Go, and any other entity working in conjunction with Camp Chi-Cue-Go for personal injury, property damage, wrongful death, breach of contract, or any other claim or loss arising out of my or my child’s/children’s participation in this AGBMS-AEHI,ISD, NCSA, and Camp Chi-Cue-Go activity.
I/we hereby grant permission to Alexander Graham Bell Montessori School (AGBMS)-AEHI, Illinois School for the Deaf (ISD), National Cued Speech Association (NCSA), Camp Chi-Cue-Go and any entities working for Camp Chi-Cue-Go the unlimited right to use, authorize the use of, and/or reproduce photographs, videos/DVDs, likenesses, the voice of myself/ourselves, my/our child/children, my/our/his/her/their name and biographical information in any legal manner at any time throughout the world for the internal or external promotional/activities (such as publications, periodicals, brochures, booklets, displays, film segments, video streams, etc.) of the above-mentioned entities. I/we agree to hold Camp Chi-Cue-Go, AGBMS-AEHI, ISD, and NCSA harmless against any liability, loss or damage resulting from the use of my/our and my/our child’s/children’s image and/or voice. I/we further understand that by signing this release, I/we waive any and all present or future compensation rights to the use of the above-stated materials. I/we are signing this release freely and voluntarily.
Prefer to download the registration and fill out by hand?
Download the Registration form below and either mail it to 9300 Capitol Drive, Wheeling, IL 60090 or email it to the Camp Chi-Cue-Go Team at firstname.lastname@example.org Payments can be made out to AGBMS and credit cards are accepted.
Finally, reserve your hotel room (blocks under Camp Chi-Cue-Go)... ...if you plan to stay in the dorms at MacMurry College, please note on the registration form and we will contact you with room assignments.
Hotel accommodations are available at Hawthorn Suites by Wyndham, located directly behind our school and in easy walking distance.
Group Rates Available
Contact the hotel directly at 847-520-1684 and ask for the AGBMS Cue Camp group rate.
Hawthorn Suites by Wyndham Northbrook Wheeling, 8000 Capitol Drive, Wheeling, IL 60090.
9300 Capitol Drive, Wheeling, Illinois * 847-850-5490 * email@example.com Website by Alexander Graham Bell Montessori School
Alexander Graham Bell Montessori School does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, pregnancy, sexual orientation, preference or identity; or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, clients, volunteers, subcontractors, vendors, and clients.