Apply Now

I, on behalf of myself, personal representatives, heirs, executors, administrators, and assigns, in consideration of being allowed to participate in the Leadership Seminole Class Sessions, and related events and activities, regardless of where they are located, and other good and valuable consideration, the receipt which is hereby acknowledged, voluntarily and knowingly execute this Release and Waiver of Liability and Assignment Agreement (the “Agreement”), with the express intention of giving a release and waiver in favor of Leadership Seminole, Inc. (“Leadership Seminole”), its officers, directors, members, attendees, agents, attorneys, contractors, servants, employees and assigns (collectively referred to as “Leadership Persons”), regardless of whether any injury, loss or damage results from the negligence or fault of any of the Leadership Persons.

I affirm and agree that all of the activities in Leadership Seminole are strictly voluntary and that it is my own choice to participate in each activity to whatever degree I deem appropriate. I further agree that I knowingly and freely assume all such risks, both known and unknown, and full and total responsibility, including all injury, loss or damages, arising out of my participation in Leadership Seminole.

I, with the intention of binding myself, my heirs, executors, legal representatives, and assigns, expressly release and discharge Leadership Seminole and Leadership Persons from all claims or demands for injury, loss or damage, whatsoever, which I or anyone claiming on my behalf, may have arising from my association with and/or participation in Leadership Seminole and its members or attendees, regardless of whether the injury, loss or damage results from the negligence or fault of any of the Leadership Persons.

I also hereby assign and grant to Leadership Seminole, as well as their authorized representatives, the right and permission to use and publish the photographs/film/videotapes/electronic representations and/or sound recordings made of me at all activities, and I hereby release the Leadership Persons from any and all liability from such use and publication. I further authorize the reproduction, sale, copyright, exhibit, broadcast, electronic storage, and/or distribution of said photographs/film/videotapes/electronic representations and/or sound recordings without limitation at the discretion of the Leadership Persons and I specifically waive any right to any compensation I may have for any of the foregoing.

Attendance: The time commitment is essential. There are nine all-day involvement sessions (breakfast at 7:30, class runs from 8AM-5PM), held one day a month, in addition to a two-day Orientation session. Only two absences will be allowed. Orientation is considered two sessions. Partial attendance at a session is considered an absence. Participants who fail to fulfill their attendance obligations will not graduate.

Tuition: Tuition for Leadership Seminole is $3,250. Class tuition includes one year $95 Alumni Association Membership upon graduation. Make check payable to Leadership Seminole. All tuition payments are non refundable.

Candidate: I understand the goals and commitments of the Leadership Seminole program. If selected, I am willing to attend all the sessions/functions sponsored by Leadership Seminole and devote the time necessary to be a contributing member of the Leadership Seminole class.

Photo: Please forward a high resolution digital color photo of yourself in JPEG or PNG format to Dawn Kraus at DKraus@leadershipseminole.org for the Leadership Seminole Class directory.