Registration is closed. Name Email Phone Attending? Yes No Number Of Members Attending Including You Your City Would you be interested in receiving a flu shot? Select Yes No Terms & Conditions I recognize that my participation in the event/activity for which I register may include a personal risk to my health or injury. I hereby willingly assume such risk for myself or for the person(s) for whom I am in law responsible, and I assume full responsibility before, during and after my/their participation in the program/activity. In consideration of the acceptance of my application and the permission to participate in the event/activity, I, for myself, my heirs, executors, administrators, successors and assigns HEREBY RELEASE, WAIVE, AND FOREVER DISCHARGE Islamic Center of Western Suburbs (ICWS) all other organizations, associations and companies associated with the event, and all their respective employees, agents, contractors, consultants, representatives, elected and appointed officials, successors and assigns OF AND FROM ALL claims, demands, losses, damages, costs, actions and other proceedings whatsoever, whether in law, statute or equity, in respect of death, injury, loss or damage to me or my property, howsoever caused, except to the extent caused by or attributable to the negligent or intentional acts of the ICWS Indemnitees, arising or to arise by reason of my participation in the event any of its associated activities. Send Donate For Luncheon
