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Parent/Guardian CURRENT Photo ID: IL State ID or Drivers License or Matricula Card...
Student’s report card or progress report...
Verification of home address (corresponding with information from student’s school)...
Holiday Greetings letter or card (created by student) for Veterans at the VA Hospital...
I acknowledge that I am the parent or legal guardian of the student referenced above and give permission for my child to attend the Annual Kids’ Fun Fest presented by Waukegan Township & Partners. I understand that in the event my child does not exhibit the expected behavior, I will be contacted and depending on the severity of his/her infractions, I will be financially responsible for securing transportation returning them home.
I have read this document, and I am signing it freely. I understand the legal consequences of signing this document, including (a) releasing the Township from all liability on my and the Participant’s behalf, (b) waiving my and the Participants’ right to sue the Township, (c) and assuming all risks of Participant’s participation in this Activity. I understand that I am responsible for the obligations and acts of the Participant as described in this document. I agree to be bound by the terms of this document.
By checking you agree and acknowledge your electronic signature is valid and binding in the same.
This form MUST be completed in its entirety. ALL information should be read thoroughly,
completed and signed by parent or responsible party.
EMERGENCY CONTACT INFORMATION
(In addition to the Medical Consent Information form):
During the above reference time frame, I can be contacted at the following:
By checking as a witness you are confirming that the Parent/Legal Guardian has agreed and acknowledged the information above.
Students participating in this activity are expected to be the best example of good citizenship at all times and abide by all guidelines established for this outing. I will represent Waukegan Township and its partners in a respectful manner, because I know it's a privilege to take this trip!!!! Students who are caught in the act of theft or involved in other inappropriate activities will need to be picked up immediately and removed from the event.
Realizing that all safety precautions will be taken, I exonerate Waukegan Township, its Partners, its participants and chaperones of any responsibility in case of accidents. In order to expedite treatment, I hereby give my consent for treatment of minor injury and medical emergencies.
My child/children will respect ALL chaperones, bus drivers, students and representatives at the schools and other locations we will be attending AT ALL TIMES.
My child/children will be on the bus at the required time.
My child/children will NOT fight, curse or have an inappropriate attitude while on this trip.
My child/children will NOT run or horseplay in inappropriate areas at inappropriate times.
My child/children will respect others and their property.
I understand that my child is not to leave with family members or friends, without prior consent provided to Waukegan Township event staff.
My child/children will NOT participate in any behavior considered disrespectful and thus, against the rules set forth by Waukegan Township and Partners.
I have read this Code of Conduct understand and agree to adhere to it and all policies of Waukegan Township. If my child does not comply with one or all of the rules, I am expected to immediately pick my child up and he/she will not be able to participate in the event. No exceptions!!!!
Adult Participant (or Parent/Guardian of Minor Participant: Please Provide the Following Completely, Accurately, and Legibly:
This field is not part of the form submission.
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