PLEASE TYPE YOUR NAME IN THE BOX BELOW, ACKNOWLEDGING YOU AGREE TO THE STATEMENTS BELOW * I, hereby authorize HFSN and the HFN to investigate my qualifications for the purpose of evaluating whether I am qualified for the volunteer position for which I am applying. I understand that HFSN and the HFN may utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation by information services and outside entities of the company’s choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my application for this volunteer position will not be processed further.
*If under 18, parents/guardian must also sign and date below.
Release, Waiver of Liability, Assumption of Risk, and Indemnity Agreement * PLEASE READ ALL PROVISIONS CAREFULLY BEFORE ACKNOWLEDGING:
The undersigned acknowledges and agrees that:
1. As photographic and video equipment are frequently used to memorialize and document Honor Flight Southern Nevada (HFSN) and the Honor Flight Network (HFN) trips and events, his/her image may appear in a public forum, such as the media or a website, to acknowledge, promote or advance the work of HFSN and the HFN program. I hereby release the photographer and HFSN and the HFN from all claims and liability relating to said photographs, I hereby give permission for my images captured during HFSN and the HFN activities through video, photo, or other media, to be used solely for the purposes of HFSN and the HFN promotional
material and publications, and waive any rights or compensation or ownership thereto.
2. I further state that medical insurance is the responsibility of the veteran, guardian, or volunteer, and I understand that HFSN, the HFN, and the provider of free private aircraft (“Flight Provider”) do NOT provide medical care. I understand that I accept all risks associated with travel and other HFSN and the HFN activities and will not hold HFSN, the HFN, or the Flight Provider responsible for any injuries incurred by me while participating in the HFSN and the HFN program.
3. In consideration of being permitted to participate in any way in HFSN and the HFN travel and activities, I,
for myself, my heirs, personal representative or assigns, do hereby release, waive, discharge, and covenant not to sue HFSN and the HFN, its officers, employees, and agents including, without limitation, Belinda Morse, from liability from any and all claims including the negligence of HFSN and the HFN, its officers, employees and agents, resulting in personal injury, accidents, or illnesses (including death) and property loss arising from, but not limited to, participation in the travel and activities.
4. I acknowledge that participation in the HFSN and the HFN travel and activities carries with it certain
inherent risks that cannot be eliminated regardless of the care taken to avoid injuries.
I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in the travel and activities. I hereby assert that my participation is voluntary and that I knowingly
assume all such risks.
Accordingly, I also agree to INDEMNIFY AND HOLD HFSN and the HFN and Board Members and
Guardians HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney's fees brought as a result of my involvement in the HFSN and the HFN travel and activities and to reimburse them for any such expenses incurred.
The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of Nevada and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement 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.