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 or relating to, my travels to and from, and my visit in the United States 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 to remain for a period of time in any such destination, including Guyana, South America, I hear with 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 or related to my activities, travel, and any illnesses that might arise by natural or other causes, while there.
I hereby acknowledged that I have requested said corporation and said members and said Pastor but I may go on said trip and to remain in said places. If I am permitted to remain at such place, I hereby promise to work diligently and in full cooperation with all leadership appointed by said Pastor, directly or indirectly, and to keep a cheerful and constructive attitude at all times. If I feel to keep this promise, it is understood that I will be solely responsible for any and all costs and other obligations incurred in my returning from as well as going to and living in said place.
This release shall apply in all of its terms to each of my minor children, dependents, and other persons as to whom I have legal custody or am otherwise responsible.
I declare under penalty of perjury that the foregoing is true and correct.
Executed on this 17 day of April 1977, at Los Angeles, California
Signed, Mary Willis
State of California
County of Los Angeles
United States of America
On April 17, 1977, before me, the Undersigned, a notary public in and for said county and state, personally appeared Mary Willis, known to me to be the person whose name is subscribed to the within instruments and acknowledged to me that she executed the same.
Witness my hand and official seal James R. Randolph