Kansas Mission of Mercy Volunteer Service Agreement
The undersigned on behalf of themselves and their estate, hereby waives any right of recovery and releases the Kansas Dental Charitable Foundation (KDCF), their officers, officials, employees and agents, from liability related to the Undersigned, arising from any and all injury to persons and damage to property, and further agrees and undertakes to indemnify, hold harmless and defend the KDCF from and against any and all claims, damages, actions, liability and expenses including attorney's fees and other professional fees in connection with bodily injury including death, personal injury and/or damage to property arising from or out of the Undersigned's activities and participation in volunteer services at the above Kansas Mission of Mercy.
The Undersigned further acknowledges and agrees that the KDCF does not assume any responsibility whatsoever for any property of the Undersigned and the Undersigned shall not hold the KDCF liable for any loss or damage to same.
By completing and submitting this form, you also grant the Kansas Dental Charitable Foundation and its agents the right to use your picture, voice and other reproductions of your physical likeness in connection with advertising or publicizing Kansas Mission of Mercy services and its activities in all forms of media in perpetuity.