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  1. In consideration of my voluntary participation in Upendo Baptist Church Benevolence Fund Program, I hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE Upendo Baptist Church, Upendo Baptist Church Board of Elders, Upendo Baptist Church members, designated Fund Administrators (herein referred as the RELEASEES), from any and all liability, claims, demands, action and causes of action whatsoever arising out of or related to any and all issues, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES, or otherwise, while participating in the Benevolence Fund Program.
  2. I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS the RELEASEES from any loss,liability, damage or costs, including court cost and attorney's fees, that they may incur due to my participationin said activity, WHETHER CAUSED BY OR CONTRIBUTED TO IN WHOLE OR PART by any actionor failure to act, negligence, breach of contract, or other misconduct on the part of RELEASEES orotherwise.
  3. It is my express intent that this Release and Hold Harmless Agreement shall bind the members of myfamily and my spouse, if I am alive. If am deceased, it shall bind my beneficiariesor personal representatives and shallbe deemed as a RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE the above namedRELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall beconstrued in accordance with the laws of the State of Texas.
  4. I further hereby agree and consent that my continued membership in the Upendo Baptist ChurchBenevolence Fund Program issubject to my continued membership of Upendo Baptist Church. Should my membership with the said churchbe revoked by the Church leadership for reasons of non-compliance, I consent thatthere will be no refunds of any kind. If I alsochoose to personally terminate my membership with the Church, there will be no refundsof any kind.
  5. I further hereby agree to submit my payback contribution within TWO WEEKS (2) of beingnotified of the death (occurrence) of amember covered by this fund. This amount may vary from time to time based onthe status of the membership of fund account.
  6. 7. I further hereby affirm that it is my understanding that only members of my immediate family (as defined in the Statement of Purpose) are included in my Benevolence Fund Registration Form and are covered under the said fund.
  7. I further agree that it is my sole responsibility to update my membership data with any new members of myfamily limited to newborn children and spouse in the event of marriage after the initial application submission.
  8. 9. I further hereby agree and consent that Fund Administrators at their discretion may verify any reporteddeath. I agree to submit all requested documents that maybe required before or after the funds are disburseddepending on the request.
  9. I further hereby agree that my membership to the said fund is non-transferable and contributions are non- refundable.
  10. I hereby consent that in case of any dispute, the same shall be referred to the Church Leadership andtheir decision will be final.
  11. Notwithstanding all terms and provisions of this program, I further hereby consent that nothing shall bepaid to me during the Open Enrollment period of said Fund. Therefore, accordingly, monetary assistance shall commence immediately following the enrollment period.

IN SIGNING THIS WAIVER/RELEASE, I ACKNOWLEDGE AND AFFIRM THAT I have readthe foregoing Waivers, Waiver of Liability and Hold Harmless Agreement, understood and signed itvoluntarily as my own free act and deed; no oral representations, statements, or inducements, apart from theforegoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent;and I have voluntarily executed the Release For full, adequate, and complete consideration fully intending tobe bound by same.

Member Name: __________________________
Date: __________________________
Signature: _________________________