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Attendance Preference
The 2025 ISMS Annual Meeting will be held April 26 - April 27. This will be a hybrid meeting, meaning both in-person and virtual attendance options are available. Please indicate below how you would like to attend this meeting (either in person or virtually). Note: Due to limited space for the on-site meeting, in-person registration is a two-day commitment. Any in-person attendees who request to join virtually at any point during this meeting cannot be accommodated. If you are not able to attend in person for both meeting dates, you should register to attend virtually. Available spaces: 4
Demographic Information
(Please enter your first and last names as you would like them to appear on the meeting badge.)
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Demographic Information
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Emergency Contact Information
Additional Information
How did you hear about Annual Meeting?
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As an ISMS member, are you looking to be more involved at the 2025 ISMS Annual Meeting? Let us know if you want to volunteer for the following:
Please note that there are a limited number of volunteers needed for each category. You will be contacted prior to the meeting if you are selected for a committee or as a judge.
Consent for Photography and/or Recording
ISMS is dedicated to providing an harassment-free and inclusive event experience for everyone attending the Annual Meeting.
ISMS is committed to providing a healthy and safe Annual Meeting for everyone.
HEALTH AND SAFETY PROTOCOL
The Board of Trustees will evaluate public health risks including the infection rate and spread of COVID-19 and any variants closer to the date of the Annual Meeting. The Board of Trustees will implement COVID-19 and public safety protocols at the Annual Meeting that are required or recommended by the Centers for Disease Control and Prevention (“CDC”), the Illinois Department of Public Health (“IDPH”), Winnebago County Health Department (“WCHD”). The Board of Trustees further reserves the right to implement additional safety protocols as they deem appropriate to create a safer environment for the attendees, including but not limited to mandatory COVID-19 testing, masking, vaccination requirements, etc.
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By checking this box, you are attesting that you agree to all the terms of the Waiver of Liability and Assumption of Risk Relating to the Annual Meeting.
WAIVER OF LIABILITY AND ASSUMPTION OF RISK RELATING TO ISMS ANNUAL MEETING
The individual named below (referred to as "I" or "me") desires to enter the premises of the Wyndham Springfield City Centre, 700 East Adams Street, Springfield, Illinois 62701 (the "Premises") for the purpose of attending the 2022 Annual Meeting (the "Meeting") of the Illinois State Medical Society (the "Society"). Whereas, the United States has declared a public health emergency due to the outbreak of the 2019 novel coronavirus and its variants (collectively "COVID-19"). COVID-19 is very contagious virus that been has been shown to cause serious and potentially life-threatening illness and even death that is spread mainly through respiratory droplets from person-to-person contact. It has been reported that people can be infected, show no symptoms, and still spread COVID-19.
Whereas, as a result, federal, state, and local governments and federal, state and municipal health agencies recommend various health and safety measures including social distancing and have, in different circumstances and locations, prohibited the congregation of groups of people. Given the consistently changing landscape, governmental restrictions may change at any time without prior notice. As such, the Society cannot guarantee eligibility to travel or to participate in the Meeting if restrictions change.
Whereas, neither the Society, nor any of its trustees, officers, directors, employees, members, affiliated entities, contractors, agents, volunteers and any other representative (collectively "Entities") can prevent Meeting attendees from becoming exposed to, contracting, or spreading COVID-19 while participating in and attending the Meeting and/or entering onto Premises. It is not possible to prevent against the presence or spread of COVID-19.
Whereas, if the individual named below chooses to participate in and attend the Meeting and enter onto the Premises, they may be exposing themselves to and/or increasing their risk of contracting or spreading COVID-19.
Therefore, in consideration of being permitted by the Society to be on the Premises and have access to and participate in the Meeting and in recognition of the Society's reliance hereon, I agree to all the terms and conditions set forth in this agreement (this "Release").
By signing this Release, I acknowledge that I am aware of the highly contagious nature of COVID-19 and the meeting is of such value to me that I voluntarily assume the risk that I may be exposed to or infected by COVID-19 by being on the Premises and attending and participating in the Meeting. I further understand and acknowledge that such exposure or infection may result in illness, personal injury, psychological injury, pain, suffering, temporary or permanent disability, death, property damage, and/or financial loss, to me and/or to anyone with whom I come in close contact if contract COVID-19. I acknowledge that this risk may result from or be compounded by the actions, omissions, or negligence of others including but not limited to other Meeting attendees, and employees of the Entities. I understand that while the Society has implemented preventative measures designed to reduce the spread of COVID-19, the Society cannot guarantee that I will not become infected with COVID-19 while on the Premises and attending and participating in the Meeting I may increase my risk of contracting COVID-19.
I agree to abide by all preventative measures (collectively "Measures") put in place by the Entities, their respective employees, agents, contractors, and volunteers at any time prior to and during the Event including wearing a face mask at all times in public spaces, remaining at least six feet away from others, and promptly notifying the Society if I experience symptoms of COVID-19 during the Meeting. I acknowledge that my failure to follow these Measures may result in being removed from the Meeting and all related activities without any refund or reimbursement.
In consideration of being permitted to participate in and have access to the Meeting, I acknowledge that the Meeting is of such value to me that I HEREBY KNOWINGLY AND VOLUNTARILY AGREE TO ACCEPT AND ASSUME ALL OF THE FOREGOING RISKS OF ILLNESS, PERSONAL INJURY, PSYCHOLOGICAL INJURY, PAIN, SUFFERING, DISABLITY, DEATH, PROPERTY DAMAGE AND/OR FINANCIAL LOSS RELATED TO COVID-19 TO MYSELF OR OTHERS, FOR MYSELF, AS WELL AS MY PERSONAL REPRESENTATIVES, HEIRS AND NEXT OF KIN, TO ASSUME ALL OF THE FOREGOING RISKS AND ACCEPT SOLE RESPONSIBILITY FOR ANY INJURY TO MYSELF RELATING TO OR IN ANY WAY CONNECTED WITH ANY ILLNESS, DAMAGE, LOSS, CLAIM, LIABILITY, OR EXPENSE, OF ANY KIND WHATSOEVER THAT I MAY EXPERIENCE OR INCUR IN CONNECTION WITH OR ARISING FROM MY ACCESS TO, ATTENDENCE OR PARTICIPATION IN THE MEETING, OR BEING ON THE PREMISES, WHETHER THE RESULT OF ACTIONS, OMISSIONS, OR NEGLIGENCE OF MYSELF AND/OR OTHERS, INCLUDING BUT NOT LIMITED TO, THE ENTITIES, THEIR RESPECTIVE EMPLOYEES, AFFILIATED ENTITIES, AGENTS, CONTRACTORS, VOLUNTEERS AND OTHER MEETING ATTENDEES.
In consideration of being permitted to attend, participate in and have access to the Meeting, I hereby expressly waive, release, covenant not to sue, discharge, and hold harmless the Entities (each defined to include their its members, owners, board members, insurers, employees, affiliated entities, agents, contractors, volunteers and representatives) (the "Released Parties") of and from any claims, rights, damages, costs, losses of services, expenses and compensation of any nature whatsoever including any and all past, present, or future claims, demands, obligations, causes of action, personal or psychological injury, illness, pain, suffering, disability, wrongful death, property damage, or financial loss (collectively “Claims”) arising out of or attributable to my being on the Premises or attending, participating in or having access to the Meeting and being exposed to or contracting COVID-19 which have resulted or may result from the acts or omissions of any of the Released Parties utilizing Released Parties’ services or premises, or interacting with Released Parties’ employees, representatives or members. I understand and agree that this release includes any Claims based on the acts or omissions of any of the Released Parties whether a COVID-19 infection occurs before, during, or after my attendance, access to or participation in the Meeting. I understand that this release and waiver under applicable law prevents me from seeking damages in any way against Released Parties, whether such damages are known or unknown, foreseen or unforeseen, or that occur now or in the future.
If any term or provision of this Release is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Release or invalidate or render unenforceable such term or provision in any other jurisdiction. This Release is binding on and shall inure to the benefit of the Society and me and our respective successors and assigns. All matters arising out of or relating to this Release shall be governed by and construed in accordance with the internal laws of the State of Illinois without giving effect to any choice or conflict of law provision or rule (whether of the State of Illinois or any other jurisdiction). Any claim or cause of action arising under this Release may be brought only in the federal and state courts located in Cook County, Illinois and I hereby consent to the exclusive jurisdiction of such courts.
I AM AGREEING TO ALL TERMS OF THIS WAIVER OF LIABILITY AND ASSUMPTION OF RISK RELATING TO MEETING ATTENDENCE, AND I AM ACKNOWLEDGING AND REPRESENTING THAT:
I have read the foregoing Waiver of Liability and Assumption of the Risk Relating to Meeting Attendance, understand it and sign it voluntarily as my own free act and deed and confirm that no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made;
I am at least eighteen (18) years of age and fully competent or that my legal guardian is authorized to sign on my behalf;
I agree to this Release for full, adequate and complete consideration fully intending to be bound by same;
I acknowledge that no promises, representations, or affirmations of fact were made to me concerning the safety or danger associated with traveling to the Meeting or participating in any activity or interaction related to or associated with the Meeting; and
I agree that this waiver and release shall bind me and my personal representatives, shall be enforceable to the fullest and broadest extent of the law, and, if any portion is held invalid, the remainder should continue in full legal force and effect.
Entering a valid promo code will waive your registration fee.
Billing Amount
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This is the date of the first scheduled recurring payment if a continuous payment plan was chosen. If an annual non-recurring plan was chosen, this date becomes the first and only scheduled payment date against the account.
Registration Confirmation
Thank you for registering for the 2025 ISMS Annual Meeting!
You will be attending the Annual Meeting .
Confirmation #
Start Date:
End Date:
Your meeting confirmation has been emailed.
Modifications cannot be made online.
If you would like to make changes, contact us at am@isms.org or 312-853-4745.