Driving Team Passenger Request

Passenger Release and Waiver of Liability Scope of Relationship. I desire to receive services to be performed by volunteers of a ministry of Fuquay-Varina United Methodist Church, Inc. (“FVUMC”).  Release from Liability. I hereby agree, on behalf of myself, my heirs and my personal representatives, to fully and forever discharge and release FVUMC, its successors and assigns, its volunteers, and their respective partners, agents, operators, managers, employees, and representatives (“Released Parties”) from any and all claims I may have or hereinafter have for any injury, illness, temporary or permanent disability, death, damages, liabilities, expenses and/or causes of action, now known or hereinafter known in any jurisdiction in the world, attributable or relating in any manner to my receipt of services, whether caused by the negligence of the Released Parties or by any other reason. I acknowledge and agree that this Passenger Release and Waiver of Liability is intended to be, and is, a complete release of any responsibility of the Released Parties for any and all personal injuries, illness, temporary or permanent disability, death, and/or property damage sustained by me as a result of being provided services. No Insurance Required. I understand that FVUMC is not required to provide insurance, nor is FVUMC required to provide any financial or other assistance, in the event of injury, illness, disability, death, or property damage related to my receipt of services. Medical Treatment. I hereby release and forever discharge FVUMC from any claim whatsoever which arises or may hereafter arise on account of any medical treatment or services, including first-aid or similar services, rendered in connection with my receipt of services. Assumption of Risk. I understand and acknowledge that the provision of services by volunteers may be dangerous and may involve risk that property will be damaged or destroyed, or that individuals may suffer serious injury, illness, temporary or permanent disability, or death. I understand that operating a motor vehicle on public roads involves inherent and significant risks, including without limitation traffic accidents, variable road conditions, and actions committed by other drivers. I understand that in the event of injury or illness, neither the volunteers nor FVUMC are required to provide medical services, and any injury or illness sustained may be compounded by negligent or delayed medical service. I VOLUNTARILY AND FREELY ASSUME ALL RISKS AND DANGERS THAT MAY OCCUR PURSUANT TO MY RECEIPT OF SERVICES, INCLUDING THE RISK OF INJURY, ILLNESS, TEMPORARY OR PERMANENT DISABILITY, DEATH, OR PROPERTY DAMAGE. Indemnification. I agree to indemnify and hold harmless FVUMC for all claims, accusations, notices, judgments, rulings, liabilities or expenses arising out of my receipt of services. Covenant Not to Sue. I agree, for myself and all my heirs, successors and assigns, not to sue the Released Parties or initiate or assist in the prosecution of any claim for damages or cause of action against the Released Parties which I or my heirs may have as a result of any personal injury, illness, temporary or permanent disability, death or property damage I may sustain as a result of my receipt of services. Publicity Release. I hereby grant to FVUMC all rights, title, and interest in and to any and all photographic images and video or audio recordings made in connection with my receipt of services, including but not limited to any royalties, proceeds or other benefits from such photographs or recordings.  Miscellaneous. I understand that this document is a contract which grants certain rights to, and eliminates the liability of, FVUMC and the other Released Parties. This Passenger Release and Waiver of Liability shall be governed by the laws of the State of North Carolina. This Passenger Release and Waiver of Liability is intended to be as broad and inclusive as permitted by law. In the event any provision of this Passenger Release and Waiver of Liability shall be held to be invalid by any court of competent jurisdiction, the invalidity of such provision shall not otherwise affect the remaining provisions of this agreement, which shall continue to be enforceable.