Juniorettes Application

This section should be completed by the student.

The email identified below should be the preferred email address, either student or parent.

Questions or comments? Please feel free to contact the HJWC Juniorettes Chair
~Liz Oliverio 630.697.3151

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I'm intersted in Juniorettes for... please check all that apply

This Section must be completed and/or viewed by a Parent or Guardian prior to submission!

Questions or comments? Please feel free to contact the HJWC Juniorettes Chair
~Liz Oliverio 630.697.3151

Parent Authorization: I hereby grant permission for photographs of my daughter to be used for promoting Juniorettes’ activities. (Receipt of this acceptance will be sent to parents.)
Parent Authorization: I hereby release the HJWC, its members, and chaperones from any claims or liability connected with or arising from my daughter’s participation at meetings and events. (Receipt of this acceptance will be sent to parents.)
Parent Authorization - COMMUNICABLE DISEASE RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT:

In consideration of being allowed to participate in any way in the Hinsdale Junior Woman’s Club program, related events and activities, I, the undersigned, acknowledge, appreciate, and agree that: I am aware there are risks to me of exposure to directly or indirectly arising out of, contributed to, by, or resulting from an outbreak of any and all communicable disease, including but not limited to, the virus “severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)”, which is responsible for Coronavirus Disease (COVID-19) and/or any mutation or variation thereof. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS HINSDALE JUNIOR WOMAN’S CLUB, its directors, officers, faculty, staff and/or employees, associated personnel, other participants, sponsors, and, if applicable, owners and lessors of premises used to conduct its various events, programs, and meetings (“Releasees”), from any and all claims, demands, losses, and liability arising out of or related to any ILLNESS, INJURY, DISABILITY OR DEATH I may suffer, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. FOR PARENTS/GUARDIANS OF PARTICIPANT UNDER AGE 18 (MINOR) This is to certify that I, as parent/guardian with legal responsibility for this Participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liability incidents to my minor child’s involvement or participation in these events, programs, and meetings as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.

Thanks for submitting!