ADULT LEGAL RELEASE AND INDEMNIFICATION AGREEMENT
In consideration of the acceptance my participation in one or more mission trips and possibly including transportation by aircraft, bus, van, car or other form of transportation (collectively, the “Activity”) sponsored by mPower Foundation Inc. of Jefferson County, Kentucky, Inc. (“mPower”) and as an inducement to planning the Activity and permitting me to participate, the undersigned (hereinafter, “I”) agrees as follows:
I hereby fully and forever release and waive and agree not to bring or cause to be brought any and all claims, demands, actions, or causes of action of every possible kind and nature whatsoever I might assert, including, without limitation, claims for personal injury, wrongful death, or property damage, whether or not absolute, known or unknown, or otherwise against mPower or any of its board members, employees, representatives, agents and volunteers (collectively referred to herein as the "Releasees") by reason of, arising out of or relating to my participation in the Activity. I release the Releasees and waive all such claims against the Releasees for any injuries or damages caused in any manner whatsoever whether or not any such liability is attributable to the absence of ordinary or even slight care by the Releasees arising out of the Activity.
I further agree to indemnify, defend and hold the Releasees harmless from any kind of compensatory or punitive damages sought to be recovered from the Releasees and all losses sustained by the Releasees independent of claims asserted by others, including, without limitation, general damages, property damages, special, incidental and consequential damages, losses or expenses suffered or paid, directly or indirectly, as a result of any and all claims, causes of action, suits, proceedings, demands, judgments,
assessments, and liabilities, including reasonable attorneys' fees incurred in litigation or otherwise, assessed, incurred or sustained by or against the Releasees by reason of, arising out of or relating to my participation in the Activity.
I give mPower, and any person acting under its authority permission to publish, distribute, broadcast, televise, promote, license, sell and copyright for all purposes, any photograph, videotape, motion picture or sound recording produced directly by mPower or under its sponsorship, which may include my image or likeness and/or my voice. I also authorize mPower to reproduce, amplify, simulate, filter or otherwise distort my voice and all instrumental musical and other sound effects produced by me. In addition, I authorize the use of any printed material in connection therewith. I release all claims against mPower with respect to copyright ownership, publication and right to privacy. I agree that I shall not receive any fee and that all rights, title, and interest to the above materials and use of them belong to mPower. I understand and agree that these materials may be duplicated or distributed with or without charge, and/or altered in any form or manner without future/further compensation or liability, in perpetuity.
I further agree that I have read and understand this Agreement; I will not drive any type of motor vehicle while participating in the Activity; the execution of this Agreement is continuing in nature; it is my knowing and voluntary act; this Agreement is binding upon my heirs, executors, administrators and legal representatives; I am under no duress or undue influence to execute this Agreement; I represent that the information provided in my application to participate in the Activity is true, complete and correct in all
respects; it is my intention with this Agreement to make a complete, general, and unconditional release of any and all claims whatsoever against the Releasees as set forth above.
This Agreement shall be effective from the date signed below until the date of the receipt of a written declaration signed by the undersigned, that this Agreement shall no longer be effective with regard to any act or event from and after the date of the receipt via U.S. Mail of the written declaration addressed to mPower Foundation Inc of Jefferson County, Kentucky, Inc., 106 N. Watterson Trail, Louisville, KY 40243.
IN WITNESS WHEREOF, I hereby execute this Agreement on the date set forth below.