Event Consent Forms

Note: Each Participant (adults and children) must complete a separate form. For those completing the form using screen readers, please press x to navigate to the checkboxes or f to navigate to the form fields.

General Release of Liability and Hold Harmless Agreement*
- I/my child(ren) agree to assume all risks and to release, hold harmless, and covenant not to sue the National Federation of the Blind or any designated beneficiaries, sponsors, officers, officials, divisions, affiliates, chapters, communities, organizations, friends of the event, and all other government or public entities and all their respective directors, officers, agents, employees, and members for any claim, loss, or liability that I may have arising out of my participation in the event. I / My child will participate in the event facilitated by the National Federation of the Blind of Illinois, and other divisions, affiliates, and Chapters of the National Federation of the Blind. I / My child will adhere to any and all rules and policies of the Program.
MEDIA RELEASE FORM
- I hereby give permission to photograph me and my child) and to use audio and/or video equipment to record my participation in the event of the National Federation of the Blind of Illinois (“NFBI”), and other divisions, affiliates, and chapters of the National Federation of the Blind. I grant permission to use said photos or recordings to promote the programs of the National Federation of the Blind (“NFB”) and the National Federation of the Blind of Illinois, and other divisions, affiliates, and chapters of the National Federation of the Blind. I also understand that print and visual media may be used to distribute information regarding my and/or my child(ren)’s participation in the program. It is understood that this material will be used solely for educational purposes or to promote the programs of the NFB and NFBI.
CODE OF CONDUCT
- I pledge on behalf of myself and my child(ren) to participate actively in the efforts of the National Federation of the Blind to achieve equality, opportunity, and security for the blind; to support the policies and programs of the Federation; and to abide by its Constitution. I further acknowledge that I have read the Code of Conduct of the National Federation of the Blind of Illinois and that I will follow its policies, standards, and principles.
Participant's Name*
First Last
Parent / Guardian's Name
if participant is under 18 years of age
First Last

Flickr Photostream

2019 Washington seminar pictures with Jan Schakowski, Steve, Dustin, and Ellen.

National Federation of the blind of Illinois state convention 2018

Boy on Panel Speaking: Boy in grey shirt at panel speaking into microphone that woman is holding up to him. Boy is facing the crowd.

National Federation of the blind of Illinois state convention 2018

The Last Picture

National Federation of the blind of Illinois state convention 2018

Speaker at Podium : Pictured: Speaker with a black and yellow jacket. He is standing in the corner of the room in front a speaker, behind a black poduim. He is facing the crowd, holding a microphone.

National Federation of the blind of Illinois state convention 2018

Picture of audiance at tables : Shows several people in a large ballroom. They are seated around round tables with brown table clothes. THey are watching the speaker.

National Federation of the blind of Illinois state convention 2018

Thomas on Panel: Woman holding microphone up to Thomas to answer a question on the Panel at the Convention. Thomas’s back is to the room.

National Federation of the blind of Illinois state convention 2018

PIcture of the Left side of the Panel : 6 members of the panel pictures

National Federation of the blind of Illinois state convention 2018

Thomas on Panel: Woman holding microphone up to Thomas to answer a question on the Panel at the Convention. Thomas’s back is to the room.

National Federation of the blind of Illinois state convention 2018

Boy on Panel Speaking: Boy in grey shirt at panel speaking into microphone that woman is holding up to him. Boy is facing the crowd.

National Federation of the blind of Illinois state convention 2018

Kid at Panel: Woman talking to room standing next to boy in a grey shirt on the panel.

« prev 1 2 3 4 5 6 … 13 next »
(126 Photos)

Latest Facebook Posts

4 days ago

Please visit NABSLink on facebook to learn more about our midwest student seminar in March. #NFBMWS19 …

View on Facebook

4 weeks ago

aira.io/free-trial …

Get 30 Free Minutes with Aira’s New Promo – Aira

aira.io

Today, in another step toward providing access to visual information to more people for less cost, Aira released its free 7-Day Trial. This offer means that anyone with a free account can try anytime access to Aira’s professional agents whenever it suits them – just like a paying subscriber. The…

View on Facebook

1 month ago

With permission I am sharing the following:
Hi Patti and Debbie!
I hope you are well!
I just wanted to send you a video of Rudy using the Ipad you bought for him last year.
He has downloaded Bookshare and is using Dolphin to read. And, in Rudy’s normal goofy fashion he is reading and learning Latin in slow motion with a smirk on his face.
www.youtube.com/watch?v=lQ5sNVWLW6E&feature=youtu.be
Thanks again for all you do to help him with his learning. We are blessed by you and the Federation.Rudy reading his Latin assignment in slow motion with a smirk on his face. …

Video

View on Facebook

2 months ago

Winter break is a great time to apply for scholarships. The National Federation of the Blind gives away 30 scholarships per year and our state affiliate will give away additional scholarships too. Visit https:nfb.org/scholarships and wwwnfbofillinois.org for more information. …

Scholarship Program

nfb.org

Scholarship Program The National Federation of the Blind’s annual scholarship program is the largest of its kind in the nation.

View on Facebook

2 months ago

Hello everyone,
We will continue reading in our book, this Sun, Dec, 9th. Time is at 5. We will start on page 225. Please call 641-715-3273. Code 5433.
Hope to see you there.
Sincerely,
Linda Hendle …

View on Facebook

Calendar of Events

February 2, 2019

Ferris Wheel Chapter Meeting (note room change)

February 2, 2019 @ 1:00 pm - 3:00 pm
Lincoln Library, 326 South 7th, Springfield. in the Carnegie Room South (first floor)

Greater Springfield Area.
Contact chapter president, Bill Reif, for more Info at billreif@ameritech.net or 217-801-2996.
meeting will be accessible also by conference line: 641-715-3273 code N F B I.

February 3, 2019

LIFE Group weekly reading

February 3, 2019 @ 5:00 pm - 6:00 pm
641-715-3273 code 5433 (LIFE)

Please check IL-Talk or with Linda Hendle for any exceptions to the regular weekly schedule.
At Large Chapter Meeting (641-715-3273 code 6324)

February 3, 2019 @ 7:00 pm - 9:00 pm
641-715-3273 code 6324 ( N F B I )

February 9, 2019

Four Rivers Chapter Meeting

February 9, 2019 @ 11:00 am - 1:00 pm
Belleville Public Library, 121 E. Washington St., Belleville, IL 62220

Contact chapter president Brian Sumner for more info (ColaBoy1965@gmail.com 618-236-6310).
Chicago Chapter Meeting

February 9, 2019 @ 1:00 pm - 4:00 pm
Exchequer Restaurant & Pub, 226 S. Wabash, Chicago, http://exchequerpub.com/menu/

meetings chaired by Chapter President Steve Hastalis (Steve.Hastalis@GMail.com).

February 10, 2019

LIFE Group weekly reading

February 10, 2019 @ 5:00 pm - 6:00 pm
641-715-3273 code 5433 (LIFE)

Please check IL-Talk or with Linda Hendle for any exceptions to the regular weekly schedule.
IABS Board Teleconference (code IABS)

February 10, 2019 @ 7:00 pm - 8:00 pm
641-715-3273 code 4227 (IABS)

February 17, 2019

LIFE Group weekly reading

February 17, 2019 @ 5:00 pm - 6:00 pm
641-715-3273 code 5433 (LIFE)

Please check IL-Talk or with Linda Hendle for any exceptions to the regular weekly schedule.

February 24, 2019

LIFE Group weekly reading

February 24, 2019 @ 5:00 pm - 6:00 pm
641-715-3273 code 5433 (LIFE)

Please check IL-Talk or with Linda Hendle for any exceptions to the regular weekly schedule.