MSH Liability release for transportation

My Sister's House
Liability Release for Transportation

Name
Name
First Name
Last Name
I understand by signing this release that I am willfully and lawfully giving my consent for volunteers or staff of the Laclede County Pregnancy Support Center (LCPSC) to provide me with transportation.  I hereby release and absolve any driver, volunteer, or staff member and the officers and director of the LCPSC, including the corporation from any liability for injury or damages arising out of said incident from such transportation.  I understand that such transportation is furnished without charge and that I cannot make a claim against LCPSC, or anyone associated with LCPSC should I be injured while they are providing me with this transportation.  I understand that Laclede County Pregnancy Support Center has the right to provide or deny transportation requests at any time.

 

I understand if being transported to a shelter or maternity home, when I arrive, the Laclede County Pregnancy Support Center is not responsible for the treatment or care I receive at the shelter or home.

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