Trip Waiver

Photo/Social Media Release, Medical Care Release, Confidentiality and Security Policy, Covenant Not to Sue, and Indemnification Agreement.

First Name

Last Name

Date of Birth

PHOTO / SOCIAL MEDIA RELEASE - The undersigned acknowledges and agrees that: As photographic and video equipment are frequently used to memorialize and document Lake County Honor Flight trips and events, my image may appear in a public forum, such as the media or a website, to acknowledge, promote, or advance the work of the Lake County Honor Flight program. I hereby release all media creators and Lake County Honor Flight from all claims and liability relating to said media. I hereby give permission for my images captured during Lake County Honor Flight activities through video, photo, or other media, to be used solely for the purposes of Lake County Honor Flight promotional material and publications and waive any rights of compensation or ownership thereto. I hereby give my permission to Lake County Honor Flight to release my name to news media. I understand I am under no obligation to consent to interviews with news media.

MEDICAL CARE RELEASE - The undersigned acknowledges and agrees that: I state that medical insurance is my responsibility and I understand that Lake County Honor Flight does NOT provide medical care. I understand that I accept all risks associated with travel and other Lake County Honor Flight activities and will not hold Lake County Honor Flight responsible for any injuries or illness incurred by me while participating in the Lake County Honor Flight program.

SAFEGUARDING THE PRIVACY OF VETERANS, VOLUNTEERS AND DONORS - Information about individuals participating in or supporting Lake County Honor Flight (LCHF) - personal, medical and financial – is private and should be kept confidential. LCHF participants cannot view veteran- or volunteer-related information unless there is a flight-related purpose. It is a violation of privacy to look at records of veterans, family, friends or other people when there is no flight-related reason to view those records. LCHF participants must commit to safeguarding confidentiality through the following types of examples: • Gather information from veterans, families, volunteers, donors and employees in the utmost confidential manner • Share confidential information on a “need to know” basis only • Conduct all conversations in areas where only those individuals who need to know will hear, and • Protect the confidential elements of a situation when sharing stories about the Honor Flight experience. Team members should understand if their relationship with Lake County Honor Flight ends, they are still expected to maintain privacy regarding any confidential information viewed, received or used. I have read and agree to observe the above requirements of confidentiality.

A COVENANT NOT TO SUE AND INDEMNIFICATION AGREEMENT - I am about to voluntarily participate in various activities, including (but not limited) to flying activities, of the Lake County Honor Flight Organization, as passenger. In consideration of (i) the Lake County Honor Flight Organization permitting me to participate in these activities and (ii) the entity providing free aircraft and flight service in connection with the Lake County Honor Flight (activities (the “Flight Provider”), I, for myself, my heirs, administrators, executors and assigns, hereby covenant and agree that I will never institute, prosecute, or in any way aid in the institution or prosecution of, any demand, claim or suit against the Lake County Honor Flight Organization (including the organization known as The Honor Flight Network) or against the Flight Provider (collectively, the “Released Parties”) for any destruction, loss, damage or injury (including death) to my person or property, whether or not now known or foreseeable, which may occur from any cause whatsoever as a result of my participation in the activities of the Lake County Honor Flight organization. If I, my heirs, administrators, executors, or assigns should demand, claim, sue or aid in any way in such a demand, claim or suit against the Released Parties in connection with my participation in the activities of the Lake County Honor Flight organization, I agree, for myself, my heirs, administrators, executors and assigns to indemnify the Released Parties for all damages, expenses, and costs it may incur as a result thereof. I know, understand, and agree that I am freely assuming the risk of my personal injury, death or property damage, loss or destruction that may result while participating in the Lake County Honor Flight activities, including such injuries, death, damage, loss or destruction as may he caused by the negligence of the Released Parties. I also understand and agree that I may be held liable for any damages or loss to the Lake County Honor Flight organization or to the Flight Provider which is caused by my gross negligence, willful misconduct, dishonesty or fraud and for limited damages or loss to the Lake County Honor Flight organization or the Flight Provider which is caused by my simple negligence. I further understand that the term Lake County Honor Flight organization includes the non-profit organization known as Honor Flight, any officer, agent and/or employee thereof. I further understand that the term Flight Provider includes any director, officer, agent, attorney, employee or affiliate thereof and any pilot, aircraft owner or others providing services to the Flight Provider. I understand and acknowledge that I may seek advice from legal counsel before signing this release. By signing this release, I acknowledge that either I have sought the advice of legal counsel or wish to now waive the opportunity to consult a lawyer before signing this release. I authorize Lake County Honor Flight officials to release my contact information (home phone and address) to other requesting individuals who participate in the same flight for purposes of communication and camaraderie with other participants.

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