REGISTRATIONREGISTRATION FORMVERNON HILLS PARK DISTRICT PROGRAMWAIVER, RELEASE, AND CONSENT TO BE PHOTOGRAPHED or VIDEO RECORDEDPlease read this form carefully and be aware that, by registering for, and for participating in, Vernon Hills ParkDistrict (“District”) programs, you are releasing all claims for injuries arising out of these programs that you or yourminor child or ward who is a named participant might sustain. In registering for these programs, you are agreeingas follows:As a participant (or the parent or guardian of a minor participant) in these programs, I recognize and acknowledgethat there are certain risks of physical injury, and I agree to assume the full risk or any damages or loss which I (ormy minor child or ward) may sustain as a result of participating, in any manner, in any and all activities connectedwith or associated with such programs. I further recognize and acknowledge that all athletic activities involvingstrenuous exertion or potential body contact are hazardous recreational activities and involve substantial risk ofinjury.RegistrationI agree to release, waive and relinquish any and all claims I (or my minor child or ward) may have as a result ofparticipating in these programs against the District, any and all other participating or cooperating governmentalunits, any and all independent contractors, officers, agents, servants and employees of the governmental bodiesand independent contractors, and any and all other persons and entities of whatever nature, that might be directlyor indirectly liable for any injuries that I (or my minor child or ward) might sustain as a result of participating in theseprograms., the District provision of, or failure to provide, proper instructions or supervision, the use and adjustmentof any and all machinery, equipment, and apparatus, and anything related to my use (or the use by my minor childor ward) of the services, facilities, or premises involved in these programs, and transportation to and from anyevents.I understand the nature of the programs for which I am registering, either individually or on behalf of my minor childor ward, and have read and fully understand this Waiver and Release of All Claims. I further understand that anyadvisements or warnings of the particular risks of these programs that I or my minor child or ward subsequentlyreceive will be incorporated by reference into and become a part of this Agreement.I acknowledge that District staff may photograph/video participants in District programs, classes or events and thatthe District may publish any of these photographs/videos in its catalogues, brochures, pamphlets, flyers, on itswebsite and via social media. I hereby consent to the District taking and publishing photographs/video of me or myminor child or ward.NEW HOUSEHOLDS MUST COMPLETE THE INFORMATION BELOW:List all family members that live at this address listed on the front of form:NAME BIRTHDATE CIRCLE ONE GRADE____________________________________________ _______________ Male Female _________________________________________________________ _______________ Male Female _________________________________________________________ _______________ Male Female _________________________________________________________ _______________ Male Female _________________________________________________________ _______________ Male Female _________________________________________________________ _______________ Male Female _____________56 (847) 996-6800vhparkdistrict.org
Tree & Bench Donation ProgramHonor a special person or commemorate a birthdayor anniversary by donating a tree or park benchin one of our parks!TREE & BENCH DONATIONSTree Donation Trees are sold at cost, with prices ranging from$225-$475, depending on the type of species selected. Treedonations are accepted year-round, but are only planted in thespring and <strong>fall</strong>.Trees can be personalized with a bronze plaque, which is also soldat cost. Bronze plaques begin at $70 depending on the amount ofcharacters requested.The Tree & Bench Donation order form can be found on theDistrict’s website or at the Park District Community Centers.Evergreens:White FirDouglas FirVanderwolf PineLimber PineOakBur oakChinkapin oakShingle OakRed oakPost oakWhite OakSwamp White OakBirchRoyal Frost BirchJapanese Whitespire BirchElmMorton Elm - AccoladeMorton Glossy Elm - TriumphMorton Stalwart Elm - CommendationLondonMorton Circle London Planetree – ExclamationMorton Euclid London Planetree – OvationMagnoliaSaucer MagnoliaStar MagnoliaRedbudEastern RedbudForest Pansy RedbudOtherKatsura TreeGinkgoKentucky CoffeetreeAmur CorktreeSycamore TreeJapanese Tree LilacCommon HackberryTulip TreeTree & Bench Donation ProgramBench Donation ProgramFor those who like to walk in the parks, a bench donation mightseem especially appropriate. The District has selected a parkbench that is available in a variety of colors that will complementany of its parks. Benches may be purchased at cost for $750 andpersonalized with a bronze plaque for an additional cost.For more information, visit our website or contact Mike Moorman,Superintendent of Parks, at 847-996-6836 ormikem@vhparkdistrict.org.Play Longer, Live Stronger57