Focus Louisville Release Form

In consideration of my acceptance for participation in the Focus Louisville program, I do for myself, my heirs and personal representatives hereby and forever release Leadership Louisville Center, its officers, employees, affiliates, successors and agents from any and all manner of actions, causes of action, debts, claims, demands or liability for any harm or injury I may sustain arising out of or in any way connected with my participation in the Focus Louisville program.

I make this release freely, and I acknowledge and assume all risks which may arise out of or may be connected with my participation in the Focus Louisville program.

The Leadership Louisville Center respects individual privacy and, therefore, must obtain a signed release form from any participant visibly recognizable in a photograph. Crowd scenes where no single person is the dominant feature are exempt.

These rules govern photographs intended for use in any Leadership Louisville Center publication of a marketing or a public relations nature, such as newsletters, brochures, promotional items or other materials. Releases also must be obtained for photographs used on our website. These rules are not in effect when photographs are taken of news events.

I hereby grant the Leadership Louisville Center permission to interview me and/or to use my likeness in photograph/s and/or video in any and all of its publications and in any or all other media, whether known now or hereafter existing, controlled by the Leadership Louisville Center, in perpetuity. I will make no monetary or other claim against the Leadership Louisville Center for the use of the interview and/or the photograph/s and/or video.

My (typed) signature below indicates my agreement to the general release and photo release.