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Your information


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First Name *
Last Name *
Mobile Phone *

For example, 123-456-7890
SMS (text) messaging:
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Date of Birth *

A valid date as MM/DD/YYYY (for example: 11/30/2015)
Gender Identity *
Organization
We know that many members of our community participate in this work because they are impacted by cancer. Is there anything you would like to share about your story?
How did you hear about Ulman Foundation?

Disclaimer

Release of Liability
I understand that the Ulman Foundation may, at times, make certain third-party service providers (e.g. counselors, health/fitness instructors) available to guests and volunteers. I understand that the Ulman Foundation does not directly endorse any of these service providers, nor do they make any guarantee of services, and DOES NOT ACCEPT ANY RESPONSIBILITY OF LIABILITY FOR ANY INJURIES OR DAMAGES WHATSOEVER ARISING OUT OF THE GUESTS/VOLUNTEERS USE OF OR INABILITY TO USE THESE SERVICES. I understand that guests should always consult with their primary care physician before participating in any physical health/fitness exercise.

To the maximum extent permitted by law, I HEREBY RELEASE the Ulman Foundation, IT’S OFFICERS, EMPLOYEES, AND AGENTS FROM ALL LIABILITIES, CAUSES Of ACTION, CLAIMS AND DEMANDS THAT MAY ARISE IN ANY WAY FROM ANY INJURY, ILLNESS, DISABILITY, DEATH, LOSS, EMOTIONAL DISTRESS OR HARM TO ME OR MY PROPERTY WHATSOEVER IN ANY WAY ARISING OUT OF MY PRESENCE AT ULMAN FOUNDATION.

To the maximum extent permitted by law, I AGREE TO INDEMNIFY, DEFEND AND HOLD THE ULMAN FOUNDATION, ITS EMPLOYEES, AGENTS AND CONTRACTORS HARMLESS FROM AND AGAINST ANY AND ALL CLAIMS, DEMANDS, CAUSES OF ACTION, DAMAGES, LOSSES, EXPENSES, AND ATTORNEYS' FEES IN ANY WAY ARISING OUT OF MY PRESENCE AT ULMAN HOUSE.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. No representations, statements, or inducements, oral or written, apart from the foregoing written statements, have been made regarding this Agreement or accommodations at Ulman Foundation. My decision to accept accommodations provided by the Ulman Foundation is voluntary, and prior to signing this Agreement, I have had the opportunity to consult with the advisor, counselor or attorney of my choice. By signing below, I hereby certify that I have read this entire Agreement, that I understand its terms, that I am giving up legal rights that I might otherwise have, including the right to sue.