Name *
Name
Phone *
Phone
Address *
Address
I would love to help on *
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I am interested in *
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I have tools!
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Waiver and Release
* A conviction does not necessarily preclude you from participation, however it may affect where you serve
PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!
PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!
As the "Volunteer" I have read hereby understand that no liability will be found in favor of SEEDS OF GRACE, a nonprofit corporation and ANY CURRENT LOCATION PARTNER, and its directors officers, employees, and agents. The Volunteer desires to work as a volunteer for SEEDS OF GRACE & ANY CURRENT LOCATION PARTNER and engage in the activities related to being a volunteer for ALL GARDEN BUILDING AND ADMINISTRATIVE ACTIVITIES. The Volunteer understands that the Activities may include DIGGING, HAULING, TILLING, DRILLING, SAWING, PLANTING, WEEDING, SITTING OR STANDING FOR EXTENDED PERIODS, LIFTING, COMPUTER DATA ENTRY, FILING, SORTING. The Volunteer hereby freely, voluntarily, and without duress executes this Release under the following terms: 1. Release and Waiver. Volunteer does hereby release and forever discharge and hold harmless SEEDS OF GRACE & ANY CURRENT LOCATION PARTNER and its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, that arise or may hereafter arise from Volunteer's Activities with SEEDS OF GRACE & ANY CURRENT LOCATION PARTNER. VOLUNTEER UNDERSTANDS THAT THIS RELEASES SEEDS OF GRACE & ANY CURRENT LOCATION PARTNER FROM ANY LIABILITY OR CLAIM THAT THE VOLUNTEER MAY HAVE AGAINST SEEDS OF GRACE & ANY CURRENT LOCATION PARTNER WITH RESPECT TO ANY BODILY INJURY, PERSONAL INJURY, ILLNESS, DEATH, OR PROPERTY DAMAGE THAT MAY RESULT FROM VOLUNTEER'S ACTIVITIES WITH SEEDS OF GRACE & ANY CURRENT LOCATION PARTNER, WHETHER CAUSED BY THE NEGLIGENCE OF SEEDS OF GRACE & ANY CURRENT LOCATION PARTNER OR ITS OFFICERS, DIRECTORS, EMPLOYEES, OR AGENTS OR OTHERWISE. VOLUNTEER ALSO UNDERSTANDS SEEDS OF GRACE & ANY CURRENT LOCATION PARTNER DOES NOT ASSUME ANY RESPONSIBILITY FOR OR OBLIGATION TO PROVIDE FINANCIAL ASSISTANCE OR OTHER ASSISTANCE, INCLUDING BUT NOT LIMITED TO MEDICAL, HEALTH, OR DISABILITY INSURANCE IN THE EVENT OF INJURY OR ILLNESS. 2. Medical Treatment. Volunteer does hereby release and forever discharge SEEDS OF GRACE & ANY CURRENT LOCATION PARTNER from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Volunteer's Activities with SEEDS OF GRACE & ANY CURRENT LOCATION PARTNER. 3. Assumption of the Risk. The Volunteer understands that the Activities may involve work that may be hazardous to the Volunteer, including, but not limited to, DIGGING, HAULING, TILLING, DRILLING, SAWING, PLANTING, WEEDING, SITTING OR STANDING FOR EXTENDED PERIODS, LIFTING, COMPUTER DATA ENTRY, FILING, SORTING and transportation to and from the work sites. Volunteer hereby expressly and specifically assumes the risk of injury or harm in the Activities, and releases SEEDS OF GRACE & ANY CURRENT LOCATION PARTNER from all liability for injury, illness, death, or property damage resulting from the Activities. 4. Insurance. The Volunteer understands that, except as otherwise agreed to by SEEDS OF GRACE & ANY CURRENT LOCATION PARTNER in writing, SEEDS OF GRACE & ANY CURRENT LOCATION PARTNER does not carry or maintain health, medical, or disability insurance coverage for any Volunteer. Each Volunteer is expected and encouraged to obtain his or her own medical or health insurance coverage. 5. Photographic Release. Volunteer does hereby grant and convey unto SEEDS OF GRACE & ANY CURRENT LOCATION PARTNER all right, title, and interest in any and all photographic images and video or audio recordings made by SEEDS OF GRACE & ANY CURRENT LOCATION PARTNER during the Volunteer's Activities with SEEDS OF GRACE & ANY CURRENT LOCATION PARTNER, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings. 6. Privacy. Volunteer will handle all materials, files, paperwork and personal situations with the utmost discretion, keeping in mind the privacy of fellow volunteers, contacts, donors and leadership. Further it is understood that any discussion of any private details of any volunteer, contact, donor or leadership will result in immediate removal from any volunteer service which would allow access to such information. Please Type Your Name in The Space Below to Indicate You Have Read and Understand the Waiver.
Signed and Submitted This Date *
Signed and Submitted This Date
Please type your full name below if the registrant is under 16
Guardian Address
Guardian Address
Guardian Phone
Guardian Phone