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CONSENT AND RELEASE OF LIABILITY FORM FOR CPS SAFE HAVEN – Spring Break!

CONSENT AND RELEASE OF LIABILITY FORM FOR CPS SAFE HAVEN – Spring Break!

TIME PERIOD: MARCH 23 - 27, 2026 (MONDAY – FRIDAY) FROM: 10:00 AM TO: 2:00 PM 
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  • 12

    Release of Liability

    The undersigned, as the parent or legal guardian of {studentName}, who is a CPS student participating in the Safe Haven Sites and Services – Spring Break Program 2026 operated by River City Community Development Center and its subcontractor fully understand and agree with the purposes and activities of the above-described project being offered by this Contractor and its Subcontractor during the period specified above (the “Program”). I hereby give permission for my child named above to participate in the Program. I understand and acknowledge that the Board of Education of the City of Chicago (the “Board”) is not operating or supervising the Program and does not accept liability for any risks associated with or injuries that may occur as a result of my child’s participation in the Program. I fully understand and accept any and all risks associated with the Program and agree to hold the Board, its members, trustees, agents, officers, contractors, volunteers, and employees harmless from any and all claims, losses, injuries (including death), costs and expenses arising (solely or in part) out of my child’s participation in the Program including, but not limited to, those that may arise out of the transportation related to the Program. Also due to Spring Break program hours field trips are not allowed.


    I acknowledge that I have read and understood all provisions of this Consent and Release of Liability Form and agree to be bound by its terms. I further understand that I may revoke this Consent and Release of Liability in writing only and that any such revocation must occur prior to the start date of the Program.

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