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CONSENT AND PUBLICITY RELEASE 

1. I hereby irrevocably grant to The Chicago Bears Football Club, Inc. (“Bears”), the National Football League (“NFL”), Advocate Health Care Network, Albertsons Companies, Inc. and Its Banner Stores, Jewel-Osco, and each of their representatives, affiliates, agents, licensees, successors and assigns, and anyone authorized by them (collectively “Released Parties”), the right and license in perpetuity to publish, use, modify and distribute throughout the world, in the Released Parties’ sole discretion, my name, image, likeness, photograph, voice, personality, performance, handwriting, any submissions or materials provided to the Bears, and any other personally identifiable information (“Information”) in connection with the advertising, promotion, publicity and sales of the Bears, the NFL, and the products and brands of their sponsors and/or affiliates in any and all forms of media now known or hereafter developed (“Materials”). I also agree that the Released Parties may copyright the Materials. 

2. I hereby waive any inspection or approval of the Materials and waive any rights I may have regarding the use and publication by the Release Parties of the Materials. I expressly release and discharge the Released Parties and their employees, agents and authorized representatives from any claim, demand, action, license, royalty (or any other form of payment) arising out of or in connection with the use of the Information including, but not limited to, any claims for right of privacy, publicity, notoriety and/or defamation. 

3. I represent and warrant that I have full right and power to enter into this agreement and that it does not conflict with any other commitments or obligations on my part, and I shall take no action that would breach or undermine the same. 

4. I also agree that the Bears own all rights in all photographs, video and audio taken by or of me, and any Information, and Materials resulting from this Agreement. I shall not receive a copy of the Materials and shall not in any way authorize any third party to use the Materials without the permission of the Bears. I further understand that the Released Parties are not under any obligation to make any use of the Information or any of the rights granter herein. 

5. I agree to keep the terms of this agreement confidential. 

I have read and fully understand the above agreement and do hereby consent to and approve all of its terms and conditions 

If the parent or legal guardian is releasing on behalf of any minor children, please print name of minor and sign and date below 

Date: May 1, 2026

First Participant's Name
First Name*
Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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