DAY OF ACTION

I hereby release, indemnify and hold harmless Heart of Indiana United Way, the organizers, sponsors and supervisors of all its activities, from any and all liability in connection with any injury (including any injury caused by negligence), in conjunction with the Day of Action program. I likewise hold harmless from liability any person transporting me to or from any United Way activity.

I hereby give to Heart of Indiana United Way, to its nominees, agents and assigns, my free and unlimited consent and permission, waiving all claims for any compensation by reason thereof or for damages by reason thereof, to use, publish, republish or exhibit in the furtherance of its work, with or without identification of me by name, the photographs, videos, or statements in conjunction with the Day of Action program, and to disseminate statements referring to me in conjunction therewith if Heart of Indiana United Way so desires and to authorize any media, company or other organization to use, publish, republish or exhibit said photograph with or without identification of me by name and to publish or disseminate statements referring to me in conjunction therewith in the promotion of Heart of Indiana United Way and any of its fund campaigns or any of its activities.