By submitting this form you agree to the following:
Waiver release of all claims and hold harmless agreement for Chicago Heights Park District – Read Carefully:
Please read this form carefully and be aware that in signing up and participating in Chicago Heights Park District programs you will be waiving and releasing all claims for injuries arising out of these programs that you or the other named participants might sustain. The terms “I”, “Me”, and “My” also refer to parents or guardians as well as participants in the programs. In registering for these programs you are agreeing as follows:
As a participant in these programs I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risk of any injuries, damages or loss of which I may sustain as a result of participating in any manner in any and all activities connected or associated with such programs. I further recognize and acknowledge that all athletics involving strenuous exertion or potential contact are hazardous recreational activities and involve substantial risks of injury.
I agree to waive and relinquish any and all claims I may have as a result of participating in these programs against the Chicago Heights Park District and all other participating or cooperating governmental units, any and all independent contractors, officers, agents, servants and employees of the governmental bodies and independent contractors and any and all other persons and entities of whatever nature that might be directly or indirectly liable for any injuries that I might sustain while participating in these programs. (The parties described in the preceding sentence are referred to as the released parties in the remainder of this agreement.)
I do hereby fully release and discharge the Chicago Heights Park District and the other related parties from any and all claims for injuries, damage or loss which I may have or which may occur to me on account of my participation in these programs.
I further agree to indemnify, hold harmless, and defend the Chicago Heights Park District and any and all other released parties from any and all claims resulting from injuries, damages, and losses sustained by anyone and arising out of connected with or any way associated with my conduct and the activities of these programs.
I further understand and agree that the terms such as participation programs and activities referred to in the agreement include all exercises and physical movements of any nature while i am participating in these programs and further include the provision of or failure to provide proper instructions or supervision, the use and adjustment of any and all machinery, equipment, apparatus, and anything related to my use of the services, facilities, or premises in these programs and transportation to and from any events.
I understand the nature of these programs for which I am registering and have read and fully understand the Waiver Release and Hold Harmless Agreement. I further understand that any advertisements or warning of the particular risks of these programs that I subsequently receive will be incorporated by reference into and become a part of this agreement.
All photographs, video recordings, audio recordings, or other visual/audio representations (collectively referred to herein as “photos”) taken or made during Chicago Heights Park District programs are the property of the Chicago Heights Park District and may be used in any manner by the Park District. I/We jointly and severally, for ourselves and for our heirs and legal representatives, do hereby agree to hold Chicago Heights Park District harmless and to indemnify the Park District from all claims, costs and expenses, including attorneys fees, arising out of, connected with, or in any way associated with the photos identified in this paragraph.
[contactform id=J573EO35JU]






