December 2025 Holiday Camp

For purposes of this document, the following are referred to collectively as the “Released Parties”: Frankie Saturn LLC dba SPARK Studio, Mug to Mug, Inc. dba Kibbitznest Books, Brews & Blarney, and Near Loop Lofts, LLC and its members (business address: 2212 N Clybourn, Chicago, IL 60614).

This form confirms that I, the parent or legal guardian of the child or children named above, understand the nature of the activities provided by this arts & crafts holiday day camp and the limited risks involved.

I understand and acknowledge that Illinois law does not allow me to waive or release my child’s own legal claims for negligence, and nothing in this document waives my child’s rights.

The program consists primarily of indoor, low-impact activities such as:

• Arts and crafts (drawing, gluing, cutting with child-safe scissors, crafting materials)
• Group games, light movement activities, and supervised play
• Occasional short supervised walks (approximately two blocks) to a public park, including crossing two public streets using appropriate pedestrian rules.

The program does not involve athletic, high-impact, or high-risk physical activities. Although risks are minimal, I understand that participation may involve ordinary risks such as:

• Minor slips, trips, or falls
• Minor cuts, scrapes, or injuries from arts-and-crafts materials
• Weather-related discomfort during outdoor walks
• Typical risks associated with walking near or crossing a public street
• Risks associated with being around other children in a group setting

I understand that these risks could result in minor injury and, although unlikely, could include more serious injury in rare circumstances. I confirm that my child is voluntarily participating in the program. I have disclosed any medical, behavioral, or allergy information relevant to supervising my child’s safety.

To the extent permitted by law, I voluntarily assume all inherent and ordinary risks associated with my child’s participation in the program and related activities, including the supervised walk to and from the nearby public park, including risks arising from the ordinary negligence of the Released Parties.

This assumption does not include risks arising from gross negligence, recklessness, or intentional misconduct.

To the fullest extent allowed by Illinois law, I release and discharge the Released Parties from any claim that I personally may have arising from my child’s participation in the program, including claims for:

• My own medical expenses
• My own emotional distress
• Loss of my own services or other parent-based claims

I understand this does not waive, limit, or release my child’s own legal rights or claims.

To the extent allowed by law, I agree to indemnify and hold harmless the Released Parties from any claim brought by me arising out of my child’s participation in the program.

I am not agreeing to indemnify the Released Parties for any claim that my child may lawfully bring in their own name.

I give permission for my child to:

• Walk with the group to a public park approximately two blocks from 2212 N Clybourn, Chicago, IL 60614
• Cross public streets under staff supervision
• Participate in supervised outdoor play at the park

I understand the camp will use reasonable care, but normal pedestrian and outdoor risks remain.

I have read this document carefully and fully understand that:

• I am not waiving my child’s rights.
• I am assuming certain risks and waiving only my own potential claims against the Released Parties, to the extent allowed by law.
• I sign this document voluntarily.

For purposes of this document, the following are referred to as the “Program Entities”:

• Frankie Saturn LLC dba SPARK Studio,
• Mug to Mug, Inc. dba Kibbitznest Books, Brews & Blarney,
• Near Loop Lofts, LLC
• and their respective members, staff, volunteers, and representatives.

I, the undersigned Parent or Guardian of the above-named minor child or children (“Child”), hereby provide consent for my Child to participate in the scheduled activities of the arts & crafts holiday day camp operated at 2212 N Clybourn, Chicago, IL 60614, including:

• Indoor arts and crafts, group games, and supervised play
• Short supervised walks to a nearby public park (approximately two blocks), including crossing a public street
• Supervised outdoor play and related low-impact activities

I understand that these activities are low-risk but involve ordinary, inherent risks associated with creative materials, group play, and walking near or across a public street.

I affirm that my Child is physically able to participate in the activities described above and has no known medical or behavioral condition that would make participation unsafe, other than those disclosed in the medical information I have provided.

I agree to notify the Program Entities immediately and in writing if:

• My Child develops any illness, injury, or medical condition that may affect participation, or
• I revoke my consent for my Child to participate in the program.

I understand that my Child is expected to follow instructions and remain with camp staff at all times. I have discussed safety expectations with my Child.

I acknowledge that this consent form does not waive any legal rights held by my Child and is not intended to do so.

In the event of an illness or injury involving my Child:

• I understand that emergency services will be contacted first if needed.
• I will be notified as soon as reasonably possible using the contact information I have provided.
• If I cannot be reached, I authorize the Program Entities to permit licensed emergency medical personnel to treat my Child as necessary.

I agree that I am responsible for all medical costs incurred on behalf of my Child.

I understand that the Program Entities may advance or pay medical expenses only when required to ensure timely care, and I agree to reimburse them for such expenses.

I have read and understand this consent and authorization.

I certify that the information provided is accurate and that I sign voluntarily.