When

Sunday, June 19, 2022 at 1:00 AM CDT
-to-
Sunday, July 31, 2022 at 1:00 PM CDT

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Contact

Jay Wojcik
Healthy Lombard Foundation
630-712-0520
jay@healthylombard.com

Flat Apple Fitness 2022 Summer Event

Flat Apple is a summer program of activities developed by Healthy Lombard Foundation partners that provide an incentive for kids to stay active during the summer. PLEASE NOTE: You will be asked for the parent/guardian information AFTER you have listed and saved the participant(s) information.

* Required information

Register ALL Participant Information by clicking on the ADD Button. PARENT info. is added later.

You may add a maximum of 5

Photo Release info

  • By registering, I, the parent (or guardian), grant permission to my child to participate in the Healthy Lombard Foundation's Flat Apple Summer activities. Parents/Guardians should understand that when their child is participating in any exercise or exercise program, there is the possibility of physical injury. If your child engages in this program, you agree that he/she does so at your own risk, are voluntarily participating in these activities, assume all risk of injury to your child, and agree to release and discharge the Healthy Lombard Foundation from any and all claims or causes of action, known or unknown, arising out of negligence.   You also agree that Healthy Lombard may use your child's (children's) image in promotional materials, the Flat Apple Fitness Activity program, and may also be included in the Healthy Lombard website photo gallery, website, featured as the main photo on a website page, on Facebook, and Twitter pages. No names will be posted unless permission is given.

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Parent/Guardian's Information OR Individuals over 18 years

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    Who's filling the form? Please use YOUR NAME in the following section. TY

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