In consideration for being potentially considered to participate in programs, events, and or activities sponsored by MS Ability Alliance, I, for myself, my executor, administrators, heirs, and anyone entitled to act on my behalf, hereby waive discharges and covenant not to sue MS Ability Alliance, its management, officers, board members, members, sponsors, licensees, volunteers, their successors, and all for any and all liability, claims, demands, damages, causes of action, losses, or expenses arising out of my participation in the event and any related activities.
I understand that I may be photographed, filmed, or videotaped in connection with my involvement with MS Ability Alliance. I hereby irrevocably grant to MS Ability Alliance, its affiliates, licensees, and collaborators the absolute right and permission to distribute, publish, exhibit, digitize, broadcast, display, reproduce, photograph, videotape or otherwise use my name, picture, portrait, likeness, writings or biographical information (including if applicable, information regarding my disease diagnosis, prognosis and treatment), manner or media whatsoever anywhere in the world in perpetuity for any lawful purpose whatsoever, including without limitation, for editorial, educational, promotional, and advertising purposes, for the solicitation of contributions, as evidence in litigation, and for any other purposes in furtherance of the purposes and objectives of MS Ability Alliance. I hereby release discharge and agree to save harmless MS Ability Alliance. and its employees or agents, affiliates, legal representatives or assigns, and all persons acting under its permission or upon its authority, from any liability by virtue of any publication of my likeness, including, without limitation, claims for libel or invasion of privacy. I further agree that MS Ability Alliance. shall be the exclusive owner of all copyright and other rights in such media. I have carefully read this Waiver and Release of Liability and fully understand its contents. I am at least 18 years of age and I am competent to contract in my own name. I am aware that this is a release of liability and a binding contract between myself and the persons and entities mentioned above and I sign it of my own free will. I understand that I am giving up substantial rights, including my right to sue.
I acknowledge that I am signing this Waiver and Release freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.
Sign below (if under the age of 18, have a parent or legal guardian sign)
