Participation Agreement Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *PhoneTrip DestinationTrip DatesPurpose of the ExperienceThe experience provided by Buckit Just Live Courageously is a charitable gift made possible by donors, sponsors, and volunteers. It is not a commercial travel arrangement and carries no retail value or transferable rights. Buckit Just Live Courageously coordinates experiences in good faith using third-party vendors including, but not limited to, airlines, lodging providers, rental car companies, peer-to-peer vehicle providers, and activity providers.Participation ExpectationsBy accepting an experience, the Recipient agrees to: Participate in a post-experience reflection Submit a minimum of five (5) photos following the experience Conduct themselves respectfully toward vendors, partners, and volunteers Provide accurate personal and travel information Communicate promptly regarding scheduling and logistics These expectations allow Buckit Just Live Courageously to honor donor generosity and continue funding future experiences.Media & Story UseBuckit Just Live Courageously shares stories to inspire hope and sustain funding for future experiences. The Recipient acknowledges and agrees: Full names will not be published Medical details will not be shared The only public context shared is that the Recipient is an adult living with non-curable cancer First name only is standard practice Submitted photos and written reflections may be used for website, social media, print materials, grant reporting, and donor communications Face blurring is available upon request. Expectations Assumption Indemnification Checkboxes *I understand that Buckit Just Live Courageously may share photos and reflections in accordance with the privacy standards outlined above.Photo SubmissionTo honor donor generosity, the Recipient agrees to submit at least five (5) meaningful photos following the experience.Checkboxes *I understand that submission of post-experience photos is part of the Buckit! experience process.Assumption of RiskTravel and activities may involve inherent risks including transportation incidents, weather events, illness, injury, vendor cancellations, or delays. The Recipient voluntarily assumes all risks associated with participation in the experience.Release of LiabilityTo the fullest extent permitted by law, the Recipient releases and holds harmless Buckit Just Live Courageously, its directors, officers, volunteers, sponsors, and partners from any claims, damages, losses, or liabilities arising from participation in the experience, including those caused by third-party vendors.Travel & IncidentalsBuckit Just Live Courageously may cover specific agreed-upon expenses only. The Recipient is responsible for incidental charges, upgrades, personal purchases, optional add-ons, valid identification, required travel documentation, and travel insurance unless otherwise specified.Lodging & Vehicle ResponsibilityIf the experience includes vacation rentals, hotels, rental vehicles, or peer-to-peer vehicle rentals, the Recipient agrees to comply with all provider terms and policies. The Recipient is responsible for: Property or vehicle damage Cleaning or smoking violations Pet violations Excess guest fees Parking tickets or toll charges Traffic violations Late return fees Fuel charges Mileage overages Any penalties resulting from failure to comply with provider rules If Buckit Just Live Courageously is charged for damages or violations attributable to the Recipient or accompanying guests, the Recipient agrees to reimburse the Organization within thirty (30) days of written notice.Checkboxes *I acknowledge responsibility for damages, fees, violations, or penalties associated with lodging or vehicle rentals during the experience.Cancellations & ChangesBuckit Just Live Courageously may adjust itineraries due to vendor availability, weather, safety concerns, or unforeseen circumstances.ConductThe Recipient agrees to conduct themselves and accompanying guests respectfully and lawfully throughout the experience. Buckit Just Live Courageously reserves the right to terminate arrangements if behavior places vendors or the Organization at risk.Force MajeureBuckit Just Live Courageously shall not be liable for delays or cancellations due to events beyond its control, including natural disasters, government restrictions, public health emergencies, or vendor insolvency.IndemnificationThe Recipient agrees to indemnify and hold harmless Buckit Just Live Courageously from claims arising from personal conduct during the experience.Minor ParticipantsIf minors participate or appear in submitted photos, the undersigned affirms they are the legal parent or guardian and have authority to grant consent. Minor children remain under the supervision and responsibility of their parent or guardian at all times. Buckit Just Live Courageously does not assume supervisory responsibility. No full names or medical details of minors will be published. First name only (if used) is standard practice. Face blurring is available upon request.Checkboxes *I affirm that I am the parent or legal guardian of participating minors or otherwise have authority to grant consent on their behalf.Governing Law & VenueThis Agreement shall be governed by the laws of the State of Missouri. Any disputes shall be brought exclusively in a court located in the State of Missouri.Acknowledgment & AuthorityBy signing below, the Recipient affirms they have read, understood, and agree to this Agreement and have authority to enter into it on behalf of themselves and any minor participants.Acknowledgment *I have read and agree to the Experience Participation Agreement.Signature * Clear Signature By signing above, I agree that this electronic signature is legally binding and equivalent to a handwritten signature.Date / Time *Submit