basketball cAMP sCHEDULE


WEDNESDAY AUGUST 15TH, 2018

10:00 AM TO 2:00 PM

THURSDAY AUGUST 16TH,2018

10:00 AM TO 2:00 PM


CAMP LOCATION


JULIAN HIGH SCHOOL 

10330 SOUTH ELIZABETH ST 

CHICAGO, IL 60643


LUNCH IS INCLUDED FOR CAMPERS BOTH DAYS


CHICAGO PUBLIC SCHOOL STUDENTS REGISTRATION:

NAME: *
NAME:
Please provide a brief description about what you love or have learned about basketball.
Please tell us who makes you happy and why they are special to you.
RELEASE AND WAIVER OF LIABILITY *
This Release is by the party signing below (herein referred to as “Releasor”), on his/her own behalf and on behalf of his/her child or ward, and is given to, LW Styling, Inc. d/b/a LW Branding, a corporation in the state of Illinois, its client Brooke Weisbrod (Skills and Scoring Basketball Camp), its employees and affiliates (collectively as “Releasees”). THE TERMS OF THIS RELEASE ARE CONTRACTUAL AND NOT A MERE RECITAL. Releasor, being of lawful age (or, in the case of a minor, through his/her parent or guardian), in consideration of being permitted to participate in the Skills and Scoring Basketball Camp event (“Event”), hereby releases and discharges Releasees from all present and future liabilities, debts, obligations, costs, expenses, damages, losses, charges, judgments, executions, liens, claims, demands, actions or causes of action of whatever nature or description, in equity or at law, which the Releasor or his/ her child or ward, family,estate,heirs,representatives,executors, administrators,successors or assigns (collectively, “Related Parties”) may have, whether known or unknown, suspected or unsuspected, asserted or not asserted, arising out of participation by the Releasor or his/her child or ward in the Event. The Releasor understands, acknowledges and accepts that this Release and Waiver is intended to be binding on the Releasor and the Releasor's Related Parties. The Releasor further understands, acknowledges and accepts that participation in the Event involves certain inherent risks, including, but not limited to, property damage and serious bodily injury (including death), and agrees that the Releasor or his/her child or ward is voluntarily participating in the Event with full knowledge of the risks involved and accepts all risks of participation. The Releasor declares that the Participant is physically fit and has the requisite skill level to participate in the Event.The Releasor authorizes Camp Sponsor to provide medical treatment to the Releasor or his/her child or ward, at the Releasor’s cost, should the need arise. The Releasor understands, acknowledges and accepts that he or she must provide his/her own medical insurance for the participant. The Releasor further grants the Releases the right, but does not otherwise impose the obligation, to Photograph, videotape and/or otherwise use the Releasors’/participant’s name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising and promotional materials, free of charge without reservation or limitation. The Releasor understands, acknowledges and accepts that this Release and Waiver of Liability is intended to be as broad and inclusive as permitted by the laws of the state in which the Event is taking place and agrees that if any portion of this Release and Waiver of Liability is invalid, the remainder will continue in full legal force and effect.
PARENT / GUARDIAN NAME: *
PARENT / GUARDIAN NAME:
ADDRESS:
ADDRESS: