Eastern Kentucky Registration for Flood Relief

CROSSROADS LEGAL RELEASE - ADULT LEGAL RELEASE AND WAIVER OF LIABILITY AGREEMENT In consideration of the acceptance of my participation in one or more activities including, but not limited to, constructing and rehabilitating residential and ministry related buildings in the areas serve by CrossRoads Missions and transportation by bus, van, car or other form of transportation (each referred to herein as a “Project”) sponsored by Crossroads Missions, Inc. (“Crossroads") and as an inducement to planning each Project 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 Crossroads or any of its partner organizations, directors, officers, employees, representatives, agents and volunteers (collectively referred to herein as the "Releasees") by reason of, arising out of or relating to my participation in each Project. I understand that activities related to a Project may be inherently dangerous, including, but not limited to using tools, loading and unloading, lifting, climbing and other construction activities. 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 each Project. Crossroads may not carry or maintain health, medical, or disability insurance coverage. I understand that I am expected and encouraged to arrive with medical or health insurance coverage in effect. I give Crossroads, 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 Crossroads or under its sponsorship, which may include my image or likeness and/or my voice. I also authorize Crossroads 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 Crossroads 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 Crossroads. 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; 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; 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 receipt of a written declaration signed by me, 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 Crossroads Missions, Inc., 3231 Ruckriegel Parkway, Suite 111, Louisville, KY 40299.

Eastern Kentucky Registration for Flood Relief

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