I, for myself, my heirs, executors, administrators, personal representatives, and assigns, hereby release Window to the World Communications,
WTTW/Chicago,WFMT, Ravenswood Special Events, Inc., the City of Chicago, the Chicago Park District, all governmental bodies or districts representing
the geographic area(s) in which the 2012 WTTW Kids Fun and Run(the“Race”) is held,all sponsors, contractors,officials,and its and their officers, directors,
trustees, employees, representatives, successors, and assigns (collectively, the “Released Parties”) from and against any and all claims under any theory
(including, without limitation, injury, illness, damage, loss or harm to me or my property or my death however caused) that may arise as a result of my
participation in the Race, including activities that I engage in relating to the Race that occur before or after the Race. I attest and verify that I am physically
fit and able to participate in a Race of this type.
I grant my permission to the Released Parties to reproduce my name, likeness, image, personality, and voice by any audio and/or visual recording technique
now known or hereafter devised in connection with publicity and promotion activities connected to the Race and/or the Released Party in all media.
In case of emergency, I authorize the Released Parties to arrange for or provide such medical care, assistance, treatment,and/or services, including,without
limitation, surgery, to me as they determine to be necessary. I hereby release, discharge, relinquish, and hold harmless the Released Parties from any
medical care, assistance, treatment, or services provided to me at any time whether such treatment or services are provided by health care professionals,
paramedics, or other persons.
Parent/Guardian Consent and Release
If Participant is under the age of 18, Participant’s Parent/Guardianmust read the following and sign below:
If you are registering more than one child, you may enter all of their names on the line below to complete a single form.
I am the parent/guardian of ____________________________________________________________________
(Child/Children). I represent andwarrant that my Child is physically fit to participate in the Race, and I consent to my Child’s participation. I HAVE READ
AND I UNDERSTAND THE ABOVE PARTICIPANT RELEASE. In consideration of allowing my Child to participate in the Race, I consent to the above and
agree that its terms shall like wise bind me,my Child, my heirs, legal representatives, and assigns. I hereby release and indemnify the Released Parties
from every claim and any liability that I ormy child may allege against the Released Parties (including reasonable attorneys’ fees and costs) as a direct or
indirect result of injury tome or my Child because of my Child’s participation in the Race,whether caused by the Released Parties or others.