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Family Fall Fest 2018

Guardian Information


Child Information

Up to 6 allowed per registration​​​
* If different than guardian​​​
* If different from guardian​​​
* If different from guardian​​

Child 2 Information

* If different than guardian​​​
* If different from guardian​​​
* If different from guardian​​

Child 3 Information

* If different than guardian​​​​​
* If different from guardian​​​
* If different from guardian​​

Child 4 Information

* If different than guardian​​​​​
* If different from guardian​​​
* If different from guardian​​

Child 5 Information

* If different than guardian​​​​​
* If different from guardian​​​
* If different from guardian​​​

Child 6 Information

* If different than guardian​​​​​
* If different from guardian​​​
* If different from guardian​​​

Waiver Agreement

JOSEPHINUM FAMILY FALL FEST WAIVER

I submit that all children and adults named on this form are physically fit to participate in strenuous activity and waive Josephinum Academy of the Sacred Heart and all other event sponsors at Josephinum’s Family Fall Fest (collectively, the “Event Sponsors”) from any and all responsibility for injury or illness. I hereby authorize the Event Sponsors to act for me according to their best judgement in an emergency requiring medical attention. I understand that I am solely responsible for the payment of any such medical expenses and acknowledge that I have medical and accident insurance coverage. I consent to the Event Sponsors’ photographers taking and/or using photographs of my participant(s) for promotional/marketing purposes.

Additional Information


Thank You! We look forward to seeing you at Josephinum's Family Fall Fest!



FOR MORE INFORMATION:
Development Office
(773) 292-3964 x233
development@josephinum.org


Josephinum Academy of the Sacred Heart

1501 North Oakley Boulevard
Chicago, Illinois 60622
(773) 276-1261
(773) 292-3963
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