Share a Heart Family Profile Submission

Thank you so much for being willing to share how the Ronald McDonald House impacted you and your family. By letting us share your story with the community, you’re helping others understand what families like yours go through and showing just how strong and resilient you are.

These stories will be featured in The Share a Heart Campaign. It is our largest source of support for the children and families at our two Ronald McDonald Houses. Your participation, as a Share a Heart family, will help us expand our mission throughout our community.

I hereby forever grant to (i) Ronald McDonald House Global f/k/a Ronald McDonald House Charities, Inc., its affiliates, subsidiaries, franchises, advertising and promotional agencies, and their respective agents and representatives, any of its Chapter organizations (defined as an entity having the right to use Ronald McDonald House Global, Ronald McDonald House, Ronald McDonald House Family Room, and/or Ronald McDonald House Care Mobile, or other trademarks for charitable purposes) (collectively, “RMH Global”) and (ii) all of RMH Global’s corporate partners (collectively, the “Partners”), including, but not limited to, McDonald’s Corporation, its affiliates, subsidiaries, franchises, advertising and promotional agencies, and their respective agents and representatives (collectively, “McDonald’s”, and together with RMH Global and the Partners, the “Grantees” or “Releasees”, as the case may be), the irrevocable, royalty-free, unrestricted worldwide right to use, publish, display, broadcast, edit, modify and distribute materials bearing my name, voice (including in foreign language translations), image, likeness and/or any other identifiable representation of myself (collectively, “My Likeness”). These materials may appear in any form, style, color or medium whatsoever now known or later developed (including, without limitation, photographs, videotapes, videos, digital media, films, sound recordings, software, drawings, prints, broadcast, internet and electronic media.) The Grantee’s use of My Likeness will be limited to use involving raising awareness of or for support of RMH Global.

Testimonial Release: I warrant and represent that any and all statements made by me regarding my experience with RMH Global reflect my own experience and opinions (“Statements”), and such Statements are and shall be accurate, true and complete. If, and to the extent Grantee shall require, I shall furnish appropriate affidavits attesting to my experience and opinion. I represent and affirm that I will contact Grantee in writing if at any time my opinion as expressed in the Statements should change. The revocation will be effective immediately upon receipt, except that the revocation will not have any effect on any action taken in reliance on this Agreement before receipt of written notice of revocation. I represent and affirm that my beliefs were not influenced in any manner and that, other than as expressed herein, I have not received, nor have I been promised, anything of value in exchange for making the Statements. Grantee shall have the right to make reasonable modifications to my Statements provided that such changes do not alter the fundamental meaning of such Statements.

I agree that all materials containing My Likeness (including, without limitation, all negatives, plates and masters of any photographs, videos, recordings, files, prints or tapes) shall be and remain the sole and exclusive property of the Grantees, and I hereby assign any right I may have acquired in or to such material to the Grantees. I hereby release and forever discharge the Grantees from any and all claims, liabilities and damages relating to the use of My Likeness. I hereby waive any right I may have to inspect or approve the finished materials or any part or element thereof that incorporates My Likeness. I acknowledge and agree that if I committed or commit any act or have been or shall become involved in any situation or occurrence tending to bring myself into public disrepute, contempt, scandal or ridicule, or tending to shock, insult or offend the people of this nation or any class or group thereof, or reflecting unfavorably upon the reputation(s) of any Grantee (collectively, an "Act"), then RMH Global reserves the right to immediately cease use of My Likeness without further notice due to me. I further understand and agree that any determination with respect to an Act shall be at the sole discretion of RMH Global and shall be conclusive in all respects. I have agreed to the above in consideration of the opportunity given to me by RMH Global and/or McDonald’s to appear in these materials. I acknowledge that I have fully read and understand this document and that I have had any questions regarding its effect, or the meaning of its terms answered to my satisfaction. I certify that I am at least 18 years of age, unless this document is also signed by my parent or legal guardian.

COMMUNICABLE DISEASE WAIVER: In connection with the preparation of the aforementioned materials, including, but not limited to, my voluntary participation at a photo or video shoot or other event identified above, I acknowledge and understand that I risk having direct or indirect contact with individuals, animals, environments, conditions, or agents (each and collectively, “Disease Agent”) who have been exposed to, infected, and/or diagnosed with one or more communicable diseases, including, but not limited to, COVID-19, or other communicable or transmissible medical conditions, diseases, infections, or maladies, and/or any mutation or variation thereof (each and collectively, “Communicable Disease”) and that it is impossible to eliminate the risk that I could become infected through contact with or close proximity to a Disease Agent with a Communicable Disease. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, BOTH KNOWN AND UNKNOWN, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERS AND ASSUME FULL RESPONSIBILITY FOR MY VOLUNTARY PARTICIPATION. I acknowledge and fully understand both the known and potential dangers of my participation in the event and acknowledge that my participation in the event, despite reasonable efforts to mitigate such dangers, may result in exposure to Communicable Disease, which could result in quarantine requirements, serious illness, disability, and/or death.  I agree to adhere to guidelines and protocols of the event organizer and local governments during my attendance at the event.

I agree to not participate in the event if I have a suspected or diagnosed/confirmed case of a Communicable Disease, if I am exhibiting symptoms of a Communicable Disease or if I have had exposure to a suspected or confirmed case of a Communicable Disease for the duration specified by public health authorities so as to limit the spread of such Communicable Disease.  I agree that I will observe applicable public health authority guidelines, including but not limited to safe social distancing and appropriate hygiene during my participation in all event related activities. I acknowledge and understand that individuals and other participants could initiate legal action against me personally for my participation or presence in an activity, and that RMH Global will not indemnify me of any costs, claims or settlements related to my own actions. I acknowledge and understand that the transmission of a Communicable Disease to others and the risk of contracting it myself is based upon my own personal choices and adherence to safety guidelines stated by public health officials and event organizers. By signing this waiver, I understand that I may be found by a court of law to have waived my right to pursue any claims against the Releasees related to an exposure to a Communicable Disease. I also understand that the named parties may seek to pursue or subrogate claims against me if I knowingly participate in event activities following a positive COVID-19 test within 14 days of the event, after being exposed to a person with a positive COVID-19 test, or while exhibiting symptoms of a Communicable Disease. I acknowledge that I have adequate health insurance and sufficient funds to cover my medical care, and that should I become ill or injured in any way due to my participation in the event, that I am solely responsible for my own medical costs and coverage.

I HEREBY AGREE, FOR MYSELF AND ON BEHALF OF MY HEIRS, EXECUTORS, ADMINISTRATORS, AGENTS, ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN, TO WAIVE ANY CLAIM AGAINST AND FOREVER RELEASE AND DISCHARGE THE RELEASEES, FOR DEATH, ANY AND ALL BODILY INJURY, ILLNESS, THEFT, LOSS OR DAMAGE TO PERSON OR PROPERTY INCIDENT TO OR ARISING FROM MY INVOLVEMENT OR PARTICIPATION IN THE EVENT (EITHER DIRECTLY OR INDIRECTLY), WHETHER ARISING IN WHOLE OR IN PART FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, TO THE FULLEST EXTENT PERMITTED BY LAW.

I HEREBY AGREE, FOR MYSELF AND ON BEHALF OF MY HEIRS, EXECUTORS, ADMINISTRATORS, AGENTS, ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN, TO INDEMNIFY AND HOLD HARMLESS ALL OF THE RELEASEES FOR DEATH, ANY BODILY INJURY OR ILLNESS AND ANY AND ALL CLAIMS, LIABILITIES AND LOSSES (INCLUDING REASONABLE ATTORNEY’S FEES AND COURT COSTS) INCURRED BY ANY RELEASEE INCIDENT TO OR ARISING FROM MY INVOLVEMENT OR PARTICIPATION IN THE EVENT (EITHER DIRECTLY OR INDIRECTLY), EVEN IF ARISING IN WHOLE OR IN PART FROM THE NEGLIGENCE OF THE RELEASEES, TO THE FULLEST EXTENT PERMITTED BY LAW.

I further expressly agree that the foregoing grant, release, waiver, and indemnity is intended to be as broad and inclusive as permitted by the law of the State of Illinois and applies to any and all claims for damages as set forth herein, and that if any portion of this waiver is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This waiver shall be construed, interpreted and governed under the laws of the State of Illinois, without regard to its conflict of laws provisions. I hereby submit to the non-exclusive jurisdiction of the courts of the State of Illinois located in Chicago, Illinois and the United States District Court for the Northern District of Illinois located in Chicago, Illinois and agree to submit to the jurisdiction of such courts and waive any objection based on forum non conveniens. 

I ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS GRANT AND WAIVER AND FULLY UNDERSTAND THAT IT IS A GRANT, RELEASE OF LIABILITY, WAIVER OF CLAIMS AND EXPRESS ASSUMPTION OF RISK AND INDEMNITY AGREEMENT. I AM AWARE AND AGREE THAT BY EXECUTING THIS WAIVER, I AM GIVING UP MY RIGHT TO SUE OR BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST RMH Global OR ANY OF RELEASEES FOR NEGLIGENCE AND SUCH COVENANT NOT TO SUE SHALL BE BINDING ON MY HEIRS, EXECUTORS, ADMINISTRATORS, AGENTS, ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN. I AGREE, FOR MYSELF AND MY SPOUSE, HEIRS, EXECUTORS, ADMINISTRATORS, AGENTS, ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN, THAT THE ABOVE REPRESENTATIONS ARE CONTRACTUALLY BINDING, AND ARE NOT MERE RECITALS, AND THAT SHOULD I OR MY SUCCESSORS ASSERT ANY CLAIM IN CONTRAVENTION OF THIS AGREEMENT, THE ASSERTING PARTY SHALL BE LIABLE FOR THE EXPENSES (INCLUDING REASONABLE ATTORNEY'S FEES) INCURRED BY THE OTHER PARTY OR PARTIES IN DEFENDING AGAINST ANY SUCH ACTION.

I represent that I am a parent or legal guardian of the person identified above, who is a minor. I understand the above and consent to the use of his/her Likeness as set forth above.