WWW.DREAMFOUNDATION.ORG (REV. 2/18/21)
Dream Agreement
Please initial items 2, 3, 4, 5 and 20 where indicated, below:
1. Granting of Dream. Dream Foundation (“DF”) shall assist with the Dream requests for the person identified below
(“Recipient”) and Recipient’s immediate family members or caregiver – such as a spouse, significant other, caregiver,
mother, father, and/or dependent children who live in the home and are under the age of 18, subject to the terms and
conditions set forth in this agreement. DF reserves the right in its sole and absolute discretion, to decide if a Dream will
be granted and on what terms. DF shall have no obligation to fulfill any Dreams hereunder if it elects to terminate or
abandon such Dreams pursuant to section 10 below.
2. Permission to disclose medical condition. The Recipient grants DF the right to disclose the nature of his/her medical
condition to the extent necessary in the fulfillment of the Dream. Furthermore, the Recipient grants DF permission to obtain
medical information about the recipient which DF may feel necessary for fulfillment of the Dream and authorize all physicians
and medical care providers to provide DF with all medical information. [initial here]
3. Waiver. The Recipient and all participants hereby forever waive any and all rights or claims he or she may have or may
hereafter acquire against DF, its officers, directors, agents, and employees arising out of any injury, harm damage or loss
of any kind to body or property, including without limitation the transmission of infectious or communicable disease
and/or attorneys’ fees (collectively “Losses”) suffered or incurred by the Recipient, and any participant, arising out of or
in any way related to DF’s preparation, execution or fulfillment of the Dream, whether or not such Losses were caused
by the active, passive or gross negligence or omission of DF or any other person. [initial here]
4. Release. Recipient, and all participants, together, and each of them individually, do hereby forever release and hold DF,
its officers, directors, agents, and employees harmless from any and all Losses suffered or incurred by Recipient or any
participant arising out of or in any way related to DF’s preparation, execution or fulfillment of the Dream, whether or not
such Losses were caused by the active, passive or gross negligence of DF or any other person. [initial here]
5. Indemnity. Recipient, and all participants, jointly and severally, do hereby agree to indemnify and hold DF, its officers,
directors, agents, and employees harmless of and from any and all Losses suffered or incurred by DF, its officers,
directors, agents, and employees as the result of any claim, lawsuit, or action arising from the actions or omissions of
Recipient and any participant during the preparation, execution and fulfillment of the Dream, or due to a breach by
Recipient, or any participants, of the representations, warranties or covenants contained in this agreement. Said hold
harmless and indemnity includes, but is not limited to, reasonable attorneys’ fees and costs incurred by DF, it officers,
directors, agents, and employees in retaining attorneys of DF’s choice to defend any and all such claims, lawsuits, and
actions. [initial here]
6. Relatives/Friends. No person may accompany the Recipient during any portion of the Dream fulfillment, unless specifically
agreed to in writing between DF and Dream Recipient.
7. Dream expenses. The expenses DF has agreed to pay for are those foreseeable and directly related to the fulfillment of
the Dream. Dream Recipient, relatives or friends, together understand that they may be forced to incur substantial
expenses as a result of unforeseen events or circumstances beyond DF’s control, especially if fulfillment of the Dream
involves travel. DF shall not have any responsibility or liability for expenses incurred by Recipient, relatives or friends
which have not been expressly assumed by DF pursuant to this Agreement, which have been caused by unforeseen
events, or circumstances beyond DF’s control. For example, a particular Dream may contemplate DF paying for certain
specific expenses for a specific period of time while Recipient is traveling away from home. If Recipient’s medical
condition deteriorates so that immediate hospitalization is necessary, Recipient may be forced to remain away from
home longer than the period of time contemplated by the Dream. In that event, it will be the sole responsibility of the
Recipient to pay for all expenses in excess of those for which DF has agreed to pay, whether medically-related, for
meals and lodgings, including hospitalization, or for other goods, or services of any nature. If death occurs during
Dream, DF is unable to assist in any way.