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By selecting the “I agree” button, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document. By selecting “I agree” using any device, means, or action, I consent to the legally binding terms and conditions of this document. I further agree that my signature on this document is as valid as if I signed the document in writing. I am also confirming that I am authorized to enter into this Agreement. If I am signing this document on behalf of a minor, I represent and warrant that I am the minor’s parent or legal guardian.
I hereby give Luthercare, its representatives, employees, agents, and assigns the absolute right and permission to record my voice and/or photographs/videos of me, and use, reproduce, or publish for editorial, trade, print, broadcast, and/or internet media forms or any other purpose; to alter without restriction; and to copyright the same. I also understand that I may instruct Luthercare, its representatives, employees, agents, and assigns at any time in writing, to discontinue its use in the future.
I hereby release and discharge Luthercare and its trustees, officers, employees, agents, legal representatives and assigns from any and all claims, actions, demands, and liability relating to its use of said audio or visual.
I am 18 years of age or older and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning, and impact of this release. I understand that I am free to address any specific question regarding this release by submitting those questions in writing prior to signing, and I agree that failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.
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I agree to let Luthercare use my photos/videos
TEAM MEMBER
By selecting the “I agree” button, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document. By selecting “I agree” using any device, means, or action, I consent to the legally binding terms and conditions of this document. I further agree that my signature on this document is as valid as if I signed the document in writing. I am also confirming that I am authorized to enter into this Agreement. If I am signing this document on behalf of a minor, I represent and warrant that I am the minor’s parent or legal guardian.
I hereby give Luthercare, its representatives, employees, agents, and assigns the absolute right and permission to record my voice and/or photographs/videos of me, and use, reproduce, or publish for editorial, trade, print, broadcast, and/or internet media forms or any other purpose; to alter without restriction; and to copyright the same. I also understand that I may instruct Luthercare, its representatives, employees, agents, and assigns at any time in writing, to discontinue its use in the future.
I hereby release and discharge Luthercare and its trustees, officers, employees, agents, legal representatives and assigns from any and all claims, actions, demands, and liability relating to its use of said audio or visual.
I understand that if I discontinue my employment with Luthercare my image may continue to be used.
I am 18 years of age or older and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning, and impact of this release. I understand that I am free to address any specific question regarding this release by submitting those questions in writing prior to signing, and I agree that failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.
2025 Luthercare. 600 E. Main Street | Lititz , PA 17543 | Telephone
717.626.1171
| Fax 717.626.1610
About
History
Our Faith & Values
Leadership
Partnerships
Financial Information
Our Services
Independent Living
Personal Care
Memory Care
Skilled Nursing Care
Rehab to Home
In Home Services
Childcare
Senior Living Communities
Luther Acres
Plan a Visit
Independent Living
Active Lifestyle
Dining
Personal Care
Memory Support
Skilled Nursing
Rehab to Home
An Investment for Your Future
St. John’s Herr Estate
Plan a Visit
Independent Living
Active Lifestyle
Personal Care
An Investment for Your Future
News
High School Nursing Scholarships
Events
Giving
Ways To Give
Annual Golf Tournament
Donate Now
Contact Us
Schedule a Visit
Careers
Apply Online
Volunteer
Search for: