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Million Meal Movement

RELEASE OF LIABILTY AND AGREEMENT TO INDEMENIFY


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I, for myself and/or on behalf of my minor child(ren), understand and acknowledge that Million Meal Movement, an Indiana nonprofit corporation, is a volunteer organization engaged in certain charitable activities, including, without limitation, packaging nutritious, life-saving meals for food insecure children and their families in developing countries and the United States and in fundraising related to the foregoing. I am requesting to participate in certain charitable activities on a voluntary participation basis in association with Million Meal Movement. I understand and acknowledge the volunteers’ activities involve risks, inherent and otherwise, known or unknown, which may cause injury, illness, or death to myself or other persons and/ or damage to property. I, for myself and/or on behalf of my minor child(ren), assume full and sole responsibility for all risks, inherent and otherwise, known and unknown, related to the volunteer activities. I understand and acknowledge that Million Meal Movement does not guarantee my safety or well-being.

In consideration for Million Meal Movement allowing me and/ or my child(ren) to participate in the volunteer activities, for myself and on behalf of my minor child(ren), I hereby RELEASE AND DISCHARGE Million Meal Movement, its officers, representatives, directors, agents and employees and/or anyone associated in any way with Million Meal Movement or the volunteer activities, including those parties, if any, agreeing to supervise the volunteer activities ( individually and collectively, the Released Parties), from any and all actions, demands, costs, expenses, liability of any kind, obligations, actions or omissions, deeds or misdeeds, claims, and counterclaims, whether arising by statute, tort, contract, or otherwise, including, but not limited to, negligence, wrongful death and willful and wanton conduct, for direct, indirect, statutory, consequential, punitive, or physical, emotional, or psychological damages or any other relief in law or equity, relating to, resulting from, or in any manner connected with, claims, causes of action, damages, losses, suits, proceedings, expenses, attorney fees and costs that I or my minor child(ren) or anyone on my behalf, my heirs or next of kin, might have for or relating to any injury suffered or claimed to have been suffered by me to either my person or property, which arises out of or is related in any manner to the volunteer activities. This release includes any claim that the act or omission complained of was caused or alleged to have been caused in whole or in part by the negligence in any form of one or more of the Released Parties.

I, for myself and/or on behalf of my minor child(ren), further agree to INDEMNIFY, HOLD HARMLESS, AND DEFEND in any action or proceeding, the Released Parties from and against all claims, damages, losses, actions, suits proceedings, breach of contract actions, expenses, and attorney fees for or relating in any way to my participation or involvement with the volunteer activities ( including fees and expenses incurred in any attempt to enforce this Release of Liability and Agreement to Indemnity (the "Agreement") or as a result of my failure to comply with the terms of this Agreement.)

This Agreement to indemnify, hold harmless and defend applies even if the act of omission complained of was caused or alleged to have been caused in whole or in part by the negligence in any form or one or more of the Released Parties. As I am releasing any claim that said minor child's family, guardian, representative and/or estate might wish to make by reason of my injury or death, this indemnity provision shall specifically apply to such actions and any action in any way arising out of or related to my injury or death. This document is governed by the laws of the State of Indiana. If one or more portions of this document are found unenforceable, the remainder of the document will remain enforceable. I have read and fully understand this Release of Liability and Agreement to Indemnify and agree to be bound by its terms. I understand that by signing this document I may be waving certain legal rights, including the right to sue the Released Parties. I sign this document freely and willingly.

By participating in any Million Meal Movement event, including the Million Meal Marathon, I acknowledge videography and photography will occur at the event, and I grant Million Meal Movement and its sponsors and other designees the right to use my image, and that of my minor child(ren), if applicable, for the possible distribution of print, electronic media, or website publication.

Today's Date: May 21, 2019

First Participant's/Volunteers Name

First Name*

Last Name*
First Participant's/Volunteers Date of Birth*
I certify that I am 18 years of age or older
First Participant's/Volunteers Signature*
Second Participant's/Volunteers Name

First Name*

Last Name*
Second Participant's/Volunteers Date of Birth*
Third Participant's/Volunteers Name

First Name*

Last Name*
Third Participant's/Volunteers Date of Birth*
Fourth Participant's/Volunteers Name

First Name*

Last Name*
Fourth Participant's/Volunteers Date of Birth*
Fifth Participant's/Volunteers Name

First Name*

Last Name*
Fifth Participant's/Volunteers Date of Birth*
Sixth Participant's/Volunteers Name

First Name*

Last Name*
Sixth Participant's/Volunteers Date of Birth*
Seventh Participant's/Volunteers Name

First Name*

Last Name*
Seventh Participant's/Volunteers Date of Birth*
Eighth Participant's/Volunteers Name

First Name*

Last Name*
Eighth Participant's/Volunteers Date of Birth*
Ninth Participant's/Volunteers Name

First Name*

Last Name*
Ninth Participant's/Volunteers Date of Birth*
Tenth Participant's/Volunteers Name

First Name*

Last Name*
Tenth Participant's/Volunteers Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news by e-mail.
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.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's 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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