Thank you for your RSVP!

 

Wednesday, September 18th

Boarding time: 6:30 pm at Navy Pier

Cruise time: 7:00-10:00 pm

 

 

As noted in the form, below is the Responsibility Statement that you will be required to sign in person before receiving your ticket to board the cruise.

If you need a printable version, or if you have questions, please email Tracy Reedy at Tracy.Reedy@accellos.com.

Thank you!

RESPONSIBILITY STATEMENT

 

PLEASE READ CAREFULLY, THIS IS A BINDING LEGAL DOCUMENT THAT INCLUDES A GENERAL RELEASE OF CLAIMS BY YOU, A COVENANT NOT TO SUE, AND ALSO BROAD INDEMNITIES BY YOU.

 

I understand and acknowledge and hereby, for myself, my heirs, executors and administrators, do waive and release any and all rights, claims and causes of action whatsoever I may have against Accellos, Inc., and any of its affiliates, or its or their employees, officers, directors and agents (“Accellos”) for any and all costs, injuries, losses or damages of any kind, including, without limitation, death and bodily injury, due in whole or in part, directly or indirectly, to my participation in the dinner cruise on the evening of Wednesday, September 18, 2013 and all related activities (the “Cruise”).  In consideration for being allowed to participate in the Cruise, on behalf of myself and my next of kin, heirs and representatives, I release Accellos from all liability and from any and all claims, including claims of Accellos’ negligence, resulting in any physical or psychological injury (including paralysis and death), illness, damages, or economic or emotional loss I may suffer because of my participation in the Cruise, including travel to and from the Cruise.  I am voluntarily participating in the Cruise.  I am aware of the risks associated with traveling to/from and participating in the Cruise, which include but are not limited to physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability (including paralysis), economic or emotional loss, and/or death.  I understand that these injuries or outcomes may arise from my own or other’s actions, inaction, or negligence; conditions related to travel; or the condition of the Cruise.  Nonetheless, I assume all related risks, both known or unknown to me, of my participation in the Cruise, including travel to, from and during the Cruise.

 

I agree to hold Accellos harmless from any and all claims, including attorney’s fees or damage to my personal property, that may occur as a result of my participation in the Cruise.  If Accellos incurs any of these types of expenses, I agree to reimburse Accellos.  If I need medical treatment, I agree to be financially responsible for any costs incurred as a result of such treatment.  I am aware and understand that I should carry my own health insurance.

 

I further release and agree to indemnify Accellos and assume all risk of any and all liability claims and damages direct or indirect, to third parties, including the Cruise operator, arising out of my participation in the Cruise.  I acknowledge that Accellos may not have arranged for, nor carries any, insurance of any kind for my benefit or that of my heirs, executors and administrators relative to my participation in or attendance at the Cruise; and that I am solely responsible for obtaining and paying for any life, travel, accident, property or other insurance relative to my participation and attendance on the Cruise.

 

I am 18 years or older. I understand the legal consequences of signing this document, including (a) releasing Accellos (and related parties) from all liability, (b) promising not to sue Accellos (and related parties), and (c) and assuming all risks of participating in the Cruise, including travel to and from the Cruise.  I understand that this document is written to be as broad and inclusive as legally permitted.  I agree that if any portion is held invalid or unenforceable, I will continue to be bound by the remaining terms.

 

I have read this document, and I am signing it freely. No other representations concerning the legal effect of this document have been made to me.

 

Signature___________________________________

 

By:  _______________________________________

 

Date: ______________________________________