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.
National Federation of the Blind CODE OF CONDUCT
- I acknowledge that I have read the National Federation of the Blind Code of Conduct and that I agree to follow its policies, standards, and principles.
National Federation of the Blind Pledge
- 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.
Participant's Name*
First Last
Parent / Guardian's Name
if participant is under 18 years of age
First Last

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Flickr Photostream

BELL parent participating in beep kick ball

A BELL parent kicks the ball during beep kickball

Group picture of BELL students, parents, mentors, and teachers

BELL students, parents, mentors, and teachers pose for a group photo

BELL student running to base during beep kick ball game

BELL student runs to the base during beep kickball

BELL parent running to base during beep kick ball game

A BELL parent runs toward a base during beep kickball

BELL parents prepare to play the field during beep kickball

BELL parents prepare to play the field during beep kickball

BELL student prepping to kick during beep kickball

BELL student prepares to kick the ball during beep kickball

BELL student reading a Braille book

BELL student reads a book in braille

BELL students play catch with beep kickball

Two BELL students play catch with a beep kickball

BELL student writing in Braille

A BELL student writes her name in braille

Another BELL student writing in Braille

A BELL student writes her name in braille

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(160 Photos)

Calendar of Events

October 1, 2019

October is Meet the Blind Month

October 1, 2019

https://nfb.org//meet-blind-month

October 5, 2019

Ferris Wheel Chapter Meeting (note room change)

October 5, 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: 605-313-4819 code N F B I.

October 6, 2019

LIFE Group weekly reading

October 6, 2019 @ 5:00 pm - 6:00 pm
605 313 4819 code 5433 (LIFE)

Please check IL-Talk or with Linda Hendle for any exceptions to the regular weekly schedule.
At Large Chapter Meeting (605 313 4819 code 6324)

October 6, 2019 @ 7:00 pm - 9:00 pm
605 313 4819 code 6324 ( N F B I )

October 12, 2019

Four Rivers Chapter Meeting

October 12, 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).
Blackhawk Chapter Meeting

October 12, 2019 @ 1:00 pm - 3:00 pm
Hope Creek Care Center, 4343 Kennedy Drive, East Moline, IL

call-in option:
6 0 5-3 1 3-4 8 1 9

code: "HAWK" (4 2 9 5)

Chapter president, Patrick Olson, 309-592-1313
Chicago Chapter Meeting

October 12, 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).

October 13, 2019

LIFE Group weekly reading

October 13, 2019 @ 5:00 pm - 6:00 pm
605 313 4819 code 5433 (LIFE)

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

October 13, 2019 @ 7:00 pm - 8:00 pm
605 313 4819 code 4227 (IABS)

October 15, 2019

Oct. 15: White Cane Safety Day

October 15, 2019
National

https://nfb.org/white-cane-safety-day
http://ilga.gov/legislation/ilcs/ilcs3.asp?ActID=2271&ChapterID=64

October 18, 2019

National Federation of the Blind of Illinois 2019 State Convention

October 18, 2019 - October 20, 2019 @
Wyndham Springfield City Centre, 700 E Adams St, Springfield, IL 62701, USA

Please save the dates now and join us for this dynamic event. The convention
is our governing body. Come determine our priorities for 2020 and have a
good time doing so.

Individual reservations may be made by calling 217-789-1530 and pressing 1
for reservations.

October 19, 2019

National Federation of the Blind of Illinois 2019 State Convention

October 18, 2019 - October 20, 2019 @
Wyndham Springfield City Centre, 700 E Adams St, Springfield, IL 62701, USA

Please save the dates now and join us for this dynamic event. The convention
is our governing body. Come determine our priorities for 2020 and have a
good time doing so.

Individual reservations may be made by calling 217-789-1530 and pressing 1
for reservations.

October 20, 2019

National Federation of the Blind of Illinois 2019 State Convention

October 18, 2019 - October 20, 2019 @
Wyndham Springfield City Centre, 700 E Adams St, Springfield, IL 62701, USA

Please save the dates now and join us for this dynamic event. The convention
is our governing body. Come determine our priorities for 2020 and have a
good time doing so.

Individual reservations may be made by calling 217-789-1530 and pressing 1
for reservations.
LIFE Group weekly reading

October 20, 2019 @ 5:00 pm - 6:00 pm
605 313 4819 code 5433 (LIFE)

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

October 27, 2019

LIFE Group weekly reading

October 27, 2019 @ 5:00 pm - 6:00 pm
605 313 4819 code 5433 (LIFE)

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