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Patient Release of Liability

In consideration of the opportunity to participate in The Lee Haugen Long Foundation’s charitable home cleaning program for cancer patients, I, and my heirs, successors and assigns, hereby agree and represent as follows:

  1. I understand that participating cleaning services agree to perform a general clean only and do pay their employees to perform this service, free of charge to me.
  2. I am 21 years of age or older and legally competent to enter into this binding legal contract. I understand that participation in The Lee Haugen Long Foundation’s charitable home cleaning program is strictly voluntary and I freely chose to participate.
  3. I understand that The Lee Haugen Long Foundation makes no warranty, express or implied, as to the quality of the cleaning services provided by its cleaning service partners under this program.
  4. I understand that the partners providing cleaning services in my home are not employed by  The Lee Haugen Long Foundation. The Lee Haugen Long Foundation makes no representation, express or implied, regarding the competency or character of any partner providing such cleaning services.
  5. I agree to release and covenant not to sue The Lee Haugen Long Foundation, its officers, employees, agents, successors and assigns from any and all liability, claims, demands, losses or damages on my account that are caused or alleged to be caused in whole or in part by the negligence, directly or vicariously, of The Lee Haugen Long Foundation, its officers, employees, agents, successors and assigns.
  6. I understand that The Lee Haugen Long Foundation does not provide any insurance coverage, including property, liability or medical, for me. Although the cleaning service partners represent themselves to be insured and/or bonded, The Lee Haugen Long Foundation makes every attempt to verify or insure this and I understand that I may request proof if I want this assurance.
  7. I agree that under no circumstance will I hire or attempt to recruit employees of a cleaning service partner to perform services to me independent of the cleaning service partner.
  8. I understand that any interpretation of this release shall be governed by the laws of the State of South Carolina without regard to the choice of law conventions of the forum state.

I have completely read and understood this Patient Release of Liability. I am submitting this release and waiver of liability voluntarily and of my own free will. I agree to be bound by the terms of it.