SIPlive: Kane County Events and Volunteer Center (L.?)

There will be no sign ups at the event or t-shirts available for purchase at the event. All must be purchased in advance.

There is no age limit to play but . . . to be included in the games, prizes for finale, you must have a phone and be a registered player.

If you sign up before July, you will receive a Treasure Quest Wild, Wild West Collectors Coin! After that there is will cost $10.

Please click here for the RULES.

Registration Per Participant:

$15.00

Quantity:

Item Subtotal:

$0.00

Participant's First and Last Name		[1]
Player's Name (Example - spiderman4)		[1]
Participant's Email	[1]
Player's Age	[1]
Participant's Signature for Waiver Below		[1]
Parent Signature if contestant(s) is a minor		[1]
Participant's First and Last Name		[2]
Player's Name (Example - spiderman4)		[2]
Participant's Email	[2]
Player's Age	[2]
Participant's Signature for Waiver Below		[2]
Parent Signature if contestant(s) is a minor		[2]
Participant's First and Last Name		[3]
Player's Name (Example - spiderman4)		[3]
Participant's Email	[3]
Player's Age	[3]
Participant's Signature for Waiver Below		[3]
Parent Signature if contestant(s) is a minor		[3]
Participant's First and Last Name		[4]
Player's Name (Example - spiderman4)		[4]
Participant's Email	[4]
Player's Age	[4]
Participant's Signature for Waiver Below		[4]
Parent Signature if contestant(s) is a minor		[4]
Participant's First and Last Name		[5]
Player's Name (Example - spiderman4)		[5]
Participant's Email	[5]
Player's Age	[5]
Participant's Signature for Waiver Below		[5]
Parent Signature if contestant(s) is a minor		[5]
Participant's First and Last Name		[6]
Player's Name (Example - spiderman4)		[6]
Participant's Email	[6]
Player's Age	[6]
Participant's Signature for Waiver Below		[6]
Parent Signature if contestant(s) is a minor		[6]
Participant's First and Last Name		[7]
Player's Name (Example - spiderman4)		[7]
Participant's Email	[7]
Player's Age	[7]
Participant's Signature for Waiver Below		[7]
Parent Signature if contestant(s) is a minor		[7]
Participant's First and Last Name		[8]
Player's Name (Example - spiderman4)		[8]
Participant's Email	[8]
Player's Age	[8]
Participant's Signature for Waiver Below		[8]
Parent Signature if contestant(s) is a minor		[8]
Participant's First and Last Name		[9]
Player's Name (Example - spiderman4)		[9]
Participant's Email	[9]
Player's Age	[9]
Participant's Signature for Waiver Below		[9]
Parent Signature if contestant(s) is a minor		[9]
Participant's First and Last Name		[10]
Player's Name (Example - spiderman4)		[10]
Participant's Email	[10]
Player's Age	[10]
Participant's Signature for Waiver Below		[10]
Parent Signature if contestant(s) is a minor		[10]

Treasure Quest T-Shirt:

$10.00

Quantity:

Item Subtotal:

$0.00

Size				[1]
Size				[2]
Size				[3]
Size				[4]
Size				[5]
Size				[6]
Size				[7]
Size				[8]
Size				[9]
Size				[10]

Wild Wild West Collectors Coin:

$10.00

Quantity:

Item Subtotal:

$0.00

Total:

$0.00

Promo Code

(Discount applied before final submission)

WAIVER FORM

CAUTION: PLEASE READ CAREFULLY BEFORE SIGNING

IN CONSIDERATION for their registration, attendance and/or participation in Kane Countys Treasure Quest Wild Wild West, which includes the orientation and registration, the treasure quest competition, and awards assembly, the undersigned, on their own behalf and on that of their personal representatives, their heirs and assigns, hereby waive any and all rights to any action, causes of action, claims, and demands whatever the cause whether arising in contract or negligence against the Organizers of Kane Countys Treasure Quest Wild Wild West and the owner/occupiers of the premises used for the purposes of the Treasure Quest for the death of the undersigned or for injuries, losses, and damages suffered by the undersigned or their dependents that may be sustained in consequence of the registration, attendance, and/or participation of the undersigned.

The undersigned voluntarily assumes the risk of and full responsibility for property damage, bodily injury, and death whatever the cause, including any negligence on the part of the Organizers of Kane Countys Treasure Quest Wild Wild West, and the owner/occupiers of the premises used for the purpose of the Treasure Quest and waive any right of action against the Organizers of Kane Countys Treasure Quest Wild Wild West and the owner/occupiers of the said premises.

The undersigned on their own behalf and on behalf of their personal representatives, their heirs and assigns, hereby release, indemnify, and hold harmless the Organizers of Kane Countys Treasure Quest Wild Wild West and the owner/occupiers of the premises used for the purpose of the Treasure Quest from any and all actions, causes of action, claims, and demands, whatever the cause whether arising in contract or negligence, for the death of any person or for the injuries, losses, and damages, whatever the cause arising in contract or negligence, suffered by any person, Corporation or legal entity that may be sustained in consequence of the said attendance and/or participation of the undersigned in the Treasure Quest.

The undersigned agree not to make any claim nor take any proceedings against any other person or corporation who might claim contribution or indemnity under the provisions of the Negligence Act from the Organizers of Kane Countys Treasure Quest Wild Wild West, and the owners/occupiers of the premises used for the purpose of the Treasure Quest.

The undersigned agree that this agreement is to be as broad and inclusive as the law permits and that if any portion of this agreement is found to be invalid, it is agreed that the balance shall, notwithstanding, continue in full force and effect.

The Undersigned is put on notice that participation in the Treasure Quest may involve; a) eating unusual foods, hiking, climbing, or walking in areas of overgrowth, uneven ground, ditches, elevation changes, and unmarked and unimproved geography, etc; b) physical exertion, vehicular traffic, and other natural and manmade barriers and obstacles such as wildlife, rockslides, cliffs or anything else that are not controlled by the organizers.

THE UNDERSIGNED HEREBY WARRANT AND ACKNOWLEDGE THAT THEY HAVE CAREFULLY READ AND UNDERSTOOD THIS WAIVER FORM AND THAT THEY ARE AT LEAST 18 YEARS OF AGE. A PARENT OR GUARDIAN WHO HAS FULLY READ AND UNDERSTOOD THIS FORM NEEDS TO SIGN WITH THE MINOR PARTICIPANT ASSUMING FULL RESPONSIBILITY FOR SAID MINOR.

THIS FORM MUST BE COMPLETED, SIGNED BY ALL PARTICIPANTS DOING THE TREASURE QUEST OR YOU WILL NOT BE PERMITTED TO PARTICIPATE.

All photos and videos taken or submitted of, or during this event become property of Kane County and can be used as promotional material for future events.

I Agree

I have read the above waiver and rules and agree to the conditions.

Contact Information

First Name:	Last Name:
Address:
Address:
City:	State/Province:	ZIP/Postal Code:
Phone:	Email:

Payment Information

Method of Payment:

Processing Fees:

Credit cards: 2.9% plus $0.30
eChecks: $0.49

	Update name from Contact Information
Name of Individual on Checking Account: Name of Individual on Savings Account: Name of Business on Checking Account:
Bank Routing Number:
Bank Account Number:
Confirm Account Number:

Credit Card Number:	(Type number or swipe with cursor in this empty field)
Expiration Date:	/
Card ID (CVV2/CID) Number:	What is the Card ID?

Cardholder Information (exactly as it appears on your statement)
	Update from Contact Information
Cardholder's Name:
Billing ZIP/Postal Code:

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