Name of Sponsoring Organization: Cornerstone ChapelPhone Number: 703-771-1500Address: 650 Battlefield Pkwy SE Leesburg, VA 20175Name/Description of Service Project: Date of Service Project:
Name of Service Recipient: Phone Number: Address:
In return for the receipt of services offered by Cornerstone Chapel, Service Recipient agrees to the following terms of this Service Project Agreement (“Agreement”):
I acknowledge that Cornerstone Chapel’s performance for the Service Project described above involves risk to the Service Recipient and to any persons in Service Recipient’s care or at the location of the Service Project, and may result in various types of injury including, but not limited to the following: sickness, bodily injury, property damage and financial damage.
Service recipient hereby releases sponsoring organization, its agents, employees, volunteers, and other representatives, from any and all injury and liability arising from the service project and associated activities. Service recipient further agrees to indemnify, defend and hold harmless sponsoring organization, its agents, employees, volunteers and other representatives (collectively “Indemnified Parties”) for any and all injury arising directly or indirectly out of the service project and associated activities, except to the extent that an injury to any of the Indemnified Parties is caused by the negligence of any of the Indemnified Parties’. In no event shall the Indemnified Parties be liable for any damage or injury to Service Recipient or to any person coming upon the premises of Service Recipient in connection with the Service Project.
Cornerstone Chapel makes no guarantee regarding the quality of the work done as a part of the Service Project. Further, Cornerstone Chapel disclaims any warranty, express or implied, including but not limited to, the implied warranty of merchantability and fitness for a particular purpose regarding the Service Project.
I agree to allow Cornerstone Chapel to use any image (photographs and/or video) while participating in the activity. These images may be used in promotions or other related marketing materials.
In the event of any dispute or disagreement between parties listed with respect to this agreement,
each party shall appoint a representative whose task it will be to meet with the representative appointed by the other party for the purpose to resolve any dispute. No legal action regarding the dispute may take place until either one of the two representatives concludes in good faith that a resolution does not appear likely. At that time the dispute shall be settled only by mediation and, if necessary, legally binding arbitration in accordance with the Rules of Procedure for Christian Conciliation of the Institute for Christian Conciliation, (complete text of the Rules is available at www.ICCPeace.com). In that case, Judgment upon an arbitration award may be entered by any court having competent jurisdiction, in conformity with the laws of the Commonwealth of Virginia.
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Document Name: US001
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