By submitting this form, I certify that the information I have provided on this application is true to the best of my knowledge and agree to respect the families' right to confidentiality during and after my time at Ronald McDonald House Mississippi.
I also understand and agree on behalf of myself and/or my child that Ronald McDonald House, its staff, board of trustees, volunteers and others associated with Ronald McDonald House will not be responsible or liable under any theory of liability for any claims, losses, damages, or injuries of any kind or nature, including, without limitation, any loss of or damage to our valuables, or other personal property from any cause, and/or for any personal injuries, illness, or death to us (or any of us) from any cause.
I hereby grant Ronald McDonald House and its local chapters and programs the irrevocable, unrestricted right to use, publish, display or distribute materials bearing my name, voice, likeness or any other identifiable representation of myself. These materials may appear in any form, style, color or medium whatsoever now or hereafter known.
