PHOTOGRAPH / TESTIMONIAL CONSENT AND RELEASE
I, the undersigned, of legal age, hereby grant, irrevocably and perpetually to Disciple a City (“DAC”) and their subsidiaries, affiliates, successors and assigns thereof, the following:
1. The right to photograph, video and record my name, voice, appearance, likeness, and/or written testimony along with any material furnished by me, in whole or in part, in any program provided by DAC, or any affiliate, subsidiary or assign of DAC.
2. The right to publish, exhibit and distribute the use of my name, voice, appearance, testimonial and/or likeness along with any material furnished by me, in whole or in part, worldwide, for any commercial purpose, including but not limited to the advertising or solicitation of business, by any means of mass and/or electronic media, including but not limited to print, radio, television and promotional materials, events and/or marketing plans.

I hereby acknowledge that I have not been paid or otherwise compensated, nor will I be compensated, for my participation to record and publish my name, voice appearance, likeness, and/or written testimony, along with any material furnished by me, in whole or in part. I further certify that all material, whether verbal, written or exhibited by me has not been scripted and represents my individual opinions and beliefs, and are true and correct to the best of my knowledge.

In consideration of being allowed to register for, and participate in, an event, activity, or experience (“Event”), I hereby waive, release from liability, assume all risks, and agree not to hold Disciple a City (“DAC”), or their respective members, employees, board members, agents, or volunteers responsible for any expense, loss, damage, personal injury (including loss of life, disability, or serious harm), property damage or theft, negligence, or actions (each, a “Loss”) resulting from or arising in connection with my travel to, attendance at, or participation in the Event and any related activities unless said Loss is caused by the sole, gross negligence of DAC.

I agree to indemnify and hold harmless Disciple a City (“DAC”) and their subsidiaries, affiliates, successors and assigns thereof, from any loss, liability, damages or costs DAC may incur, whether caused by negligence, active or passive, or otherwise, in connection with my participation in the Event.

I am an adult of sound mind and capable of entering into this waiver. I have read its terms and fully understand and agree to the provisions herein.