RELEASE OF LIABILITY
I, Grace l. Stoen, do hereby release Peoples Temple of the Disciples of Christ, its Pastor, its bus drivers, and all members of said church from any and all liability for any injuries resulting in any acts of commission or omission occurring while I am in any way engaged in an activity or on any trip sponsored directly or indirectly by Peoples Temple Christian Church.
I sign this freely, willingly, and under no duress.
/s/ Grace Lucy Stoen
Executed on this 12th day of April,
1975, at Mendocino, California
I hereby declare that I am the [handwritten insertion “mother of John Victor Stoen”], and have full legal custody thereof, and enter into this release of liability with respect to myself and said minor.
I hereby release Peoples Temple of the Disciples of Christ, a California corporation, and any and all of its members, and Pastor Jim Jones, of any and all liability, claims, causes, and causes of action arising out of and relating to said [blank] travels to and from and visit in any and all foreign countries, including Guyana, South America, including but not limited to the airplane flights to and from said destination and accompanying means of transportation while there.
In the event that I should elect that [blank] remain for a period of time in such destination, including Guyana, South America, I hereby release Peoples Temple of the Disciples of Christ, a California corporation, and any and all of its members, and Pastor Jim Jones, of any and all liability, claims, causes, and causes of action arising out of and related to [blank] activities, travel, and any illnesses that might arise by natural or other causes, while there.
I hereby acknowledge that I have requested said corporation and said members and said Pastor that [blank] may go on said trip and remain in said places. If [blank] is permitted to remain in any such place, I hereby promise on [blank] behalf that [blank] will work diligently and in full co-operation with all leadership appointed by said Pastor, directly or indirectly, and to keep a cheerful and constructive attitude at all times. If [blank] fails to keep this promise, it is understood that I will be solely responsible for any and all costs and other obligations incurred in [blank] returning from as well as going to and living in said place.
I declare under penalty of perjury that the foregoing is true and correct. Executed on [blank] day of
/s/ Grace Stoen