I give Breakthrough permission to use any video or photography taken of me during my volunteer experience for their marketing
materials such as (but not limited to) newsletters, publications, brochures, videos and website.
LIABILITY RELEASE UNCONDITIONAL RELEASE AND HOLD HARMLESS AGREEMENT
I desire to participate in various programs, events, activities or service projects (each, an “Activity” or “Activities”)
sponsored, organized or operated, at least in part, by Breakthrough Urban Ministries, Chicago, Illinois (“BTUM”), and I
understand and acknowledge that BTUM will not allow me to participate in the Activities unless I first release and hold
harmless BTUM, its directors, employees, or other agents (collectively, “Agents”) from and against any damage and liability
relating to or arising out of my participation in the Activities. I understand and acknowledge that my participation in an
Activity exposes me to various risks, and I have considered these risks and possible dangers involved.
THEREFORE, in consideration of the permission extended to me by BTUM through its Agents to participate in an Activity, I,
for myself and for my heirs, legal guardians or representatives, successors and assigns (collectively, “Representatives”),
agree to UNCONDITIONALLY RELEASE AND FOREVER DISCHARGE BTUM and its Agents from any and all claims, demands, and causes of
action of whatsoever nature, which I or my Representatives ever may have against any of them on account of or related to such
Activities or my participation therein. I hereby assume any and all risks associated with my participation in and related to
such Activity, and I unconditionally agree to hold BTUM and its Agents blameless for any liability concerning my personal health
and well-being, or any injuries incurred while participating in an Activity.
I have carefully read the foregoing, and I understand that my signature constitutes a full and complete release of BTUM and
its agents and an agreement to hold such parties harmless from any liability for all injuries incurred while participating in