National Federation of the Blind of Illinois
2016 Parents’/Student’/TVI Seminar

(Each Participant (adults and children) must complete a separate form.)

By signing my name below, I 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, 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.

Program:  Spring Parents’/Student/TVI Seminar
Event Date:       April 15 and 16 2016

I / My child will participate in the 2016 Spring Seminar facilitated by the National Federation of the Blind of Illinois.  I / My child will adhere to any and all rules and policies of the Program.  I agree / My child has permission to participate in all activities of the Program.