Five Seasons | Burr Ridge Kids Events | January - March 2023
PLEASE FILL OUT FORM FOR EACH CHILD.
THIS IS YOUR REGISTRATION. 
YOU WILL BE CHARGED BASED ON WHAT YOU REGISTER FOR.

If you have additional questions, please reach out to Cindy Fernandez, Club Manager.
cfernandez@5ssc.com
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Family Last Name *
Child(s) Name(s) *
Child(s) Birthdate(s) *
Email *
Any known Allergies?
Attend Kids Night Out on:
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Terms and Conditions- I request that my child be admitted to the Five Seasons Program. I understand that fees are non-refundable and that refunds are only granted for extreme circumstances such as relocation or serious illness. I agree that the use of Five Seasons Family Sports Club’s (“Club”) facilities and participation in any programs or activities sponsored by the Club or on the Club’s property shall be undertaken at my sole risk. The Club and/or the Sponsor of the program or activity shall not be liable for injuries, damages, or losses resulting from acts of active or passive negligence on the part of the Club, its owners, officers, employees or agents or the Sponsor of an activity or program, its owners, officers, employees or agents. Liability/Waiver of Claims- It is expressly agreed that all use of Five Seasons Family Sports Club’s facilities/programs shall be undertaken at the participant’s sole risk, and the Club shall not be liable for injuries or damages to participants or users, including with no limitation, those injuries or damages resulting from acts of active or passive negligence on the part of the Club, its owners, officers, employees or agents. Each participant for himself, herself and family members, and on behalf of his/her executors, administrators and assigns, expressly releases, forever discharges and waives any claims against the Club, its successors and assigns, as well as its owners, officers, employees and agents, from all such claims, injuries, damages, actions or causes of action. I AGREE TO ALL TERMS ON THIS PAGE AND PAYMENT FOR REGISTERED WEEKS.

*All Children MUST be potty trained to attend this event
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