2018 Golf

Annual IAITC Golf Outing

* denotes required field

Payment Information
Company/Organization Name
Golfer 1
First Name
Last Name
Email
Golfer 1 plans to stay for dinner
Golfer 2
First Name
Last Name
Email
Golfer 2 plans to stay for dinner
Golfer 3
First Name
Last Name
Email
Golfer 3 plans to stay for dinner
Golfer 4
First Name
Last Name
Email
Golfer 4 plans to stay for dinner
Fast Pass - Gains access to on-course contests *Past or present Professional golfers ARE NOT eligible to win any hole in one prize.
Banquet ONLY Reservations (# of attendees)
Become a Cart Sponsor
Please select the course of your choice (Course choice is not guaranteed! The IAA Foundation reserves the right to make final course assignments.)*
*

PLEASE READ CAREFULLY.  THIS LEGAL DOCUMENT AFFECTS YOUR RIGHTS.

In consideration of myself and/or my child being permitted to participate in the Illinois Farm Bureau Foundation’s Golf Event (the “Event”), and in full recognition and appreciation of the dangers and risks inherent in such participation, I freely and voluntarily execute this Release of Liability (“Release”) under the following terms:

Assumption of the Risk. I understand that participation in the Event is voluntary and involves activities that may be hazardous and may cause physical injury, permanent disability or death. I expressly and specifically assume responsibility for all known or unknown risks of injury or harm related to such participation.

Release and Waiver. I, personally and on behalf of my below named child, heirs, assigns, executors and administrators (and for any other party who may claim under or through me), release, discharge, and hold harmless the IAA Foundation and their agents, employees, officers, directors, members, successors, assigns, and affiliate organizations, including without limitation parents and subsidiaries, (collectively the “Released Parties”) from all liability, claims, actions, and demands which may arise from or relate to participation in the Event. I understand I am discharging the Released Parties from any liability or claim that may exist against them with respect to any injury, illness, death, or property damage that may result from participation in the Event, whether caused by the negligence of the Released Parties or otherwise 

Other. I expressly agree that this Release is intended to be as broad and

inclusive as permitted by the laws of the State of Illinois. I agree that in the event any part of this Release is held to be invalid by any court of competent jurisdiction, such invalidity shall not otherwise affect the remaining parts of this Release which shall continue to be enforceable. 

Upon accepting my application and in consideration of allowing me to enter this event, which I agree is at my own risk and entirely of my own free will I hereby for myself and on behalf of my heirs, executors, administrators, and assigns, waive, release, and discharge Illinois Farm Bureau, IAA Foundation, Illinois Agriculture in the Classroom, IFB Family of Companies, Pontiac Elks, Wolf Creek Golf Club, event organizers, volunteers, sponsors, and promoters from any responsibility or liability whatsoever for any losses, injury, or other damage sustained in any activities during or surrounding the event.

I also give permission for the free use of my name and picture in the any broadcast, telecast, or print media account of this event or subsequent similar future events.

I have read and understand this entire Release, and I agree to be legally bound by it.



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Call:

309.557.2230

Email:

jdenny@ilfb.org

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