Release Form

LUTHERAN WOMEN’S MISSIONARY LEAGUE
2022 – 2024 BIENNIUM
PARTICIPANT INFORMATION, ACKNOWLEDGMENT, ASSUMPTION OF RISK AND RELEASE

The purpose of this form is to identify each person (“Participant”) who wishes to volunteer with the Lutheran Women’s Missionary League (“LWML”) or to participate in LWML-sponsored, or LWML-related activities.
As a condition to becoming a Participant, LWML requires you to provide the following information and to release LWML from any liability for your safety and wellbeing when volunteering for LWML and while participating in any LWML-sponsored or LWML-related activities, including optional activities scheduled in conjunction with conventions or any meetings. LWML may copy this form for use at optional activities.

Convention Release Form

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Allergies *

SPECIAL DIET RESTRICTIONS (not preference) *

REACTION TO RESTRICTION / MEDICATION NEEDED *

CONTACT IN CASE OF EMERGENCY *

Phone Number *

Choose One *

Cell Landline

Contact Address *

Line 1

Line 2

City

State

Zip Code

Country

Participant Full Name (Serves as SIgnature) *

Date *

Once this form is submitted, you will be taken to the payment options. Please ensure you choose all of the appropriate items you selected on your registration form. They will not have been automatically selected.

Submit

GENERAL RELEASE
The undersigned acknowledges and agrees as follows:
LWML assumes no, and disclaims all, liability for my safety and well-being while I am a Participant.
In consideration of LWML permitting me to be a Participant, I:
1. Acknowledge and agree that LWML cannot and does not accept any (and expressly disclaims all) responsibility for my safety and well-being; and
2. Waive all claims arising from my volunteering for LWML and participation in LWML-sponsored or LWML-related activities. Knowing and understanding the risks relating to my being a Participant, I release and discharge LWML, its directors, officers, employees, and agents from all claims, demands, actions and causes of action that I may have, now or in the future, relating to, or resulting from, any illness or injuries (including death), loss or damage suffered by me while I am a Participant.
PHOTO RELEASE
I grant to LWML and its assigns the right and permission to take photographs and audio and video recordings during my participation, and to retain, publish, and distribute, without charge or fee, such photographs and audio and video recordings. Without limiting the foregoing, I agree that these images and recordings may be used in publications, including electronic publications and websites, and in audio-visual presentations, promotional literature, advertising, and in other similar ways.

Convention Release Form

Home

About Us