Please read this text carefully and be aware that by registering for and participating in this program, or by registering your minor child/ward for participation in this program, you will be waiving your rights and/or the rights of your minor child/ward to all claims for injuries you or your minor child/ward might sustain arising out of this program and you will be required to indemnify, hold harmless and defend the City of Highland Park for any claims arising out of participation of the Highland Park Community Clean Event, Saturday, May 14, 2022 and Saturday, May 21, 2022 (hereinafter referred to as “Program”) sponsored by the City of Highland Park, including but not limited to transportation in a City vehicle.

Risk or Injury: As a participant in the Program, or as a parent or legal guardian of a participant under 18 years of age, I recognize and acknowledge that there are certain risks of physical injury involved with participation in the Program and I agree to assume the full risk of injuries, including death, damages, or losses which I or my minor child/ward may sustain as a result of participating in any and all activities associated with this Program.

Waiver of Injury Claims: I agree to waive and relinquish any and all claims I may have arising out of, connected with, or in any way associated with the activities of the Program.

Release from Liability: I do hereby fully release and discharge the City of Highland Park and its officers, agents and employees from any and all claims from injuries, including death, damage or loss which I or my minor child/ward may have or which may occur on account of participation in the Program.

Indemnity and Defense: I further agree to indemnify, hold harmless and defend the City of Highland Park and its officers, agents and employees from any and all claims from injuries, including death, damages and losses sustained by me or my minor child/ward and arising out of, connected with, or in any way associated with the activities of the program.

Photo & Video Policy:  Photos and video footage may be taken of participants in the Program.  These photos and video footage are for the City of Highland Park use only and may be used in its publications, website, or television programming.  All photos are property of the City of Highland Park.  If you have any questions, please contact the City Manager’s Office at (847) 926-1000.

In the event of any emergency, I authorize the City of Highland Park to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed reasonable and necessary for my minor child’s/ward’s immediate care and agree that I will be responsible for payment of any and all medical services rendered.

By checking the box below, I indicate that I have read and fully understand and agree to the above stated conditions of participation in the Program.