•ParticipantName(first and last)

•Participantsemail

•School(please do not abbreviate)

•Publication(please choose one) Yearbook Newspaper Lit Mag Broadcasting Other

•YourRole(please choose one) Adviser Editor Staff

•Adviser(s)Names(s)

•Advisersemail

•AdvisersPhone

•EmergencyContact(first and last name and relationship)

•EmergencyContactphonenumber

>MO’RE THAN YEARBOOK 2015/2016 WORKSHOP SERIES

RegistrationConformationEmergency Authorization: In consideration of the benefits to be derived and having full confidence that every precaution will be taken to ensure the safety and well-being of my son/daughter or myself during this activity, I hereby agree to his/her/my participation in any or all MO’re than Yearbook workshops in 2015/2016, I furthermore authorize the staff of the camp to seek any medical help and hospital attention for me (in the case of attending adviser) or my minor child (campers). I will not hold Lake Forest Academy, Vernon Hills High School, MO’re Yearbooks, Maureen Olofsson, Jamie Silver, Joelle Sexton, Ann Urbanic, Dan Eichmeier, Tom Neiman or any member of the staff responsible for any accidents or personal injury or theft or damage to personal property for any reason whatsoever. Limited space is available at all workshops, I give MO’re Yearbooks permission to publish in print, electronic, or video image of my child or use audio recordings of my child. I release all claims against MO’re Yearbooks with respect to copyright ownership and publication including any claim for compensation related to use of the materials. Images, video and audio recordings of my child taken or recorded on the date below by MO’re Yearbooks can be used in print, broadcasting and other forms of advertising; brochures, newsletters and other camp promotion publications; on a camp web site; in audiovisual presentations; and in other activities to promote the camp and inform the public about the camp. These photos, video or other images or recordings may be used by the camp without payment of fees, royalties or other remuneration. Students will not be identified by school or by name in any publication.

IndividualParticipantRegistrationFormforAdviserandStaffmembers

Asthelegalguardianoftheparticipantorparticipantover18,Iagreetothetermsabove.PLEASESIGNHERE

Allparticipants(AdvisersandStudents)•Please return this form before you participate in your first workshop of the series.•Your response will be recorded and you can now participate at all MO’re than Yearbook Workshops in 2015/2016

Starting April 7th 2015 that you have paid for. Advisers•Fill out the school form as well as submit the payment.•Send Maureen the names of the participants for each event in an email, mmolofsson@herffjones.com.Payment•Make checks payable to MO’re Yearbooks•We prefer individuals pay the school and one check be submitted with the school form•Mail to Maureen Olofsson at 3 s 154 Park Blvd, Glen Ellyn, IL 60137

If you have any questions, please contact your Adviser orMaureen Olofsson (workshop coordinator) mmolofsson@herffjones.com or 630-660-3773

June18thOneDayWorkshop•$50.00 per participantAfterSchoolworkshopseries•$10.00 per participant•Series will resume in the fall