Waiver of Liability Form

Assumption of Risk, Waiver, and Release from Liability

I, (Print Full Name) choose to participate in GT Educational Center

events and activities. This Assumption of Risk, Waiver, and Release from Liability covers the entirety of my enrollment in
GT Programs, including travel to any locations off the GT campus in order to participate in activities and events.
I certify that I have no health issues which make it unwise for me to participate in any such event and activity and agree
that I and my heirs will hold harmless GT Educational Center and its agents, officers and faculty in the event of my
experiencing accident, injury or even death as a result of the aforesaid excursion.

Furthermore, I agree to assume full responsibility for damage to property or injury to myself or others resulting from my
actions during any activity or excursion, and to make appropriate compensation as required by law

1. Risk Factors - I understand and acknowledge that participating in GT events involves risks including, but not limited
to the following: risk of property damage, bodily injury, including, but not limited to permanent disability, paralysis, and
possibly death. These risks may result from a variety of circumstances including, but not limited to, the use or misuse
of the equipment or facilities, from the activity itself, from the acts of myself or others, including GT Educational Center
and its agents or from the unavailability of emergency medical care.

2. Assumption of Risk - I am participating in GT events and activities at my own free will. I understand that my decision
to participate is entirely voluntary. I assume full responsibility for all risks that may arise out of or result from my
participation in these events or activities, including by not limited to those risks described in Section 1, above.

3. Acknowledgement of Policies and Procedures - I acknowledge that I have read, know, and agree to all of the policies
and procedures relating to my participation in GT activities and events. I understand that the safe and proper use of
all facilities, equipment or participation in the activity is dependent upon carefully following these policies and procedures.
I understand that GT reserves the right to revoke or terminate my participation in the events/activities for any violations
of these rules, regulations, or policies.

4. Release, Indemnify, and Defend. I hereby release, waive, discharge, and hold harmless GT Educational Center, and
all of their affiliates, predecessors, successors, trustees, officers, directors, faculty, employees, agents and representatives,
past or present (hereinafter jointly referred to as “the Released Parties") from any and all claims, suits, liabilities, judgments,
costs and expenses ("Claims") for any property damage, property loss or theft, personal injury or illness, death or other
loss arising from or relating to my participation in GT events and activities. I also agree to defend, indemnify and hold
harmless the Released Parties from and against any Claims arising from or related to my own acts or omissions in
connection with my participation in the events and activities.

5. Prerequisite Skills. I acknowledge that I have the requisite skills, qualifications, physical ability and training necessary
to properly and safely participate in GT events/activities. I agree that if I have any questions as to what skills, qualifications,
or training is necessary to properly participate in any event/activity, then I shall direct such questions to the appropriate
individuals.

6. Waiver - I hereby waive any protections afforded by any statute or law in any jurisdiction whose purpose, substance
and/or effect is to provide that a general release shall not extend to claims, material or otherwise which the person
giving the release does not know or suspect to exist at the time of executing the release.
This means, in part, that I am releasing unknown future claims.
Waiver of Liability Form
7. Payment for Damages. I agree to pay for any and all damages to any property or Release Party caused by me negligently,
willfully or otherwise.

8. Representatives. I enter into this agreement for myself, as well as for my heirs, assigns and legal representatives.

9. Consent for Emergency Treatment - I consent to medical treatment for emergencies that occur during or are related
to my participation in GT events and activities where I am unable to consent to such treatment.
I understand the provisions of this Assumption of Risk, Waiver, and Release from Liability apply to any treatment that
might be provided to me under this Section, including but not limited to Section 1, Section 2, and Section 4.

10. Insurance - I understand that I am solely responsible for any medical, health or personal injury costs relating to my
participation in GT events and activities.

11. Jurisdiction. This Assumption of Risk, Waiver, and Release from Liability shall be governed in all respects by the laws
of the State of Illinois. The parties agree to use the State of Illinois for Jurisdiction and the County of Cook as Venue
for any disputes between the parties related to this Assumption of Risk, Waiver, and Release from Liability.

12. Severability. If any term or provision of this Assumption of Risk, Waiver, and Release from Liability is held to be illegal,
invalid or unenforceable, or the application thereof to any person or circumstance shall to any extent be illegal, invalid
or unenforceable under present or future laws effective during the term hereof or of any provisions hereof which survive
termination, then and in any such event, it is the express intention of the parties that the remainder of this Assumption
of Risk, Waiver, and Release from Liability, or the application of such term, clause or provision other than to those as to
which it is held illegal, invalid or unenforceable, shall not be affected thereby, and each term, clause or provision of this
Assumption of Risk, Waiver, and Release from Liability and the application thereof shall be legal, valid and enforceable
to the fullest extent permitted by law.

I have read and fully understand this Assumption of Risk, Waiver, and Release from Liability and
understand that it relates to surrendering and releasing valuable legal rights. I do so freely and voluntarily.

Printed Name :

Signature : Date (mm/dd/yy) : / /

Consent and Release on Behalf of Minor by Parent/Legal Guardian

I am the parent or legal guardian of the above named minor. I have read and understand this
Acknowledgment/Waiver of Liability in its entirety and understand that it relates to surrendering valuable
legal rights of the minor and myself. I agree to be bound by all the terms of the Assumption of Risk, Waiver,
and Release from Liability. I also give my consent to the participation in the activity of the minor.

Printed Name :

Signature : Date (mm/dd/yy) : / /

GT EDUCATIONAL CENTER
Main Campus : Chicago Downtown Campus Extension: Portage Park Classroom Extension : Hickory Hills E-mail : info@gt.edu
816 S. Michigan Ave. #LL, Chicago, IL 60605 4032 N. Nashville Ave. Chicago, IL 60634 7667 W. 95th St. #301 Hickory Hills, IL 60457 Website : www.gt.edu
Tel. : (847) 568 1560 Tel. : (773) 777 4625 Tel. : (708) 233 5701
Fax : (847) 568 1563 Fax : (773) 777 7914 Fax : (708) 233 5702