Child Care Registration Form

We, the undersigned, in consideration of the services of care for our children during the ACG Annual Meeting in Philadelphia, PA from October 25-30, 2024,
do hereby release and discharge forever, American College of Gastroenterology, The Philadelphia Marriott Downtown, contracted child care providers,
corporations both known and unknown, from any and all claims, demands, damages, actions, causes or actions, or suits at law or inequity because of any matter,
incident or thing done, omitted or suffered to be done by anyone, which may hereafter arise from or out of our children’s presence at the
children’s program at The Philadelphia Marriott Downtown, October 25-30, 2024.

Furthermore, we the undersigned do expressly stipulate and agree, in consideration for the aforesaid children’s hospitality center, to
in-demnify and to hold the American College of Gastroenterology and The Philadelphia Marriott
Downtown, firms and corporations both known and unknown, forever harmless against loss from any and all further claims, demands, grievances
and causes of actions of any kind whatsoever that may hereafter at any time be made or brought by our children and we hereby waive any and all
rights of exemption under the laws of any state or against such claims.

In the event of any emergency, the American College of Gastroenterology
and The Philadelphia Marriott Downtown and their agents have our permission to administer first aid or obtain emergency medical
treatment in our children’s best interest. We agree to pay all expenses incurred due to an emergency involving our children.

By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "I Accept" you consent to be legally bound by this Agreement's terms and conditions.