WOODSIDE BIBLE CHURCH, A NONPROFIT ORGANIZATION
REQUIRED VOLUNTEER PERMISSION FORM
ADULT and MINOR
RELEASE AND WAIVER OF LIABILITY
Volunteer Emergency Information & Hold Harmless Release
Form
PLEASE
READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!
I, ________________________________, (the Volunteer) desire to participate as a
volunteer in various programs, events or activities, (hereafter collectively
referred to as “ACTIVITIES” operated or sponsored by WOODSIDE BIBLE CHURCH. The Volunteer desires to work as a volunteer
for WOODSIDE
BIBLE CHURCH and engage in the activities related to being a
volunteer. The Volunteer understands that the Activities may include construction,
neighborhood beautification, painting & cleaning of area and participating
at special events. In consideration of
the permission granted to participate in the Activities, the Volunteer hereby freely and without
duress executes this Release under the terms below:
1.
Release
and Waiver: The Volunteer hereby AGREES
TO THE WAIVE, RELEASE, FOREVER DISCHARGE and HOLD HARMLESS WOODSIDE BIBLE CHURCH and
any of its officers, directors, employers, affiliates, agents, homeowners,
volunteers, donors, representatives, successors, assigns, from any and all
liability, actions, causes of action, demands, damages (any illness, death,
bodily injury, personal injury or property damage) and claims of every kind of
nature, either in law or in equity, which arise or may hereafter arise from the
Volunteer’s Activities. The Volunteer further RELEASE, FOREVER
DISCHARGES AND AGREES TO HOLD HARMLESS WOODSIDE BIBLE CHURCH and any of its
officers, directors, employers, affiliates, agents, homeowners, volunteers, donors,
representatives, successors, assigns, from any and all liability arising from WOODSIDE
BIBLE CHURCH and any of its officers, directors, employers, affiliates,
agents, homeowners, volunteers, donors, representatives, successors, assigns, or
representative’s OWN NEGLIGENCE, CARELESSNESS, OR OTHER.
2.
Assumption
of Risk: The Volunteer
understands that the Activities might involve physical activity, loading
and unloading, transportation to and from the work sites, contact with
unidentified and/or unfamiliar persons, unanticipated hazards, unexpected
dangers and other potential risks of bodily injury or damage to property. The Volunteer
represents that the Volunteer has no physical or mental conditions which,
to their knowledge, would endanger the Volunteer and any other person, or would
interfere with the Volunteer’s ability to participate in the Activities. The Volunteer
fully realizes the dangers of participating in the Activities and agrees that
the Volunteer is solely responsible for his/her safety and health conditions
(and any limitations imposed thereby).
The Volunteer hereby
expressly and specifically assumes any and all risks of injury, illness or harm
caused or sustained during the Volunteer’s participation of the Activities.
3. Medical Treatment: The Volunteer understands that WOODSIDE
BIBLE CHURCH does not assume any responsibility or obligation to
provide financial assistance or other assistance, including but not limited to
medical, health, or disability insurance in the event of any illness, bodily
injury or personal injury sustained by the Volunteer. The Volunteer
hereby RELEASES, FOREVER DISCHARGES AND AGREES TO HOLD HARMLESS WOODSIDE
BIBLE CHURCH and any of its officers, directors, employees, affiliates,
agents, representatives, successors, assigns, and partners from any and all
claims, costs, expenses, damages whatsoever which arise or may hereafter arise
on account of any first aid, physical or mental health treatment, or medical
service rendered as a result of the Volunteer’s Activities with WOODSIDE
BIBLE CHURCH.
Insurance:
The
Volunteer understands that WOODSIDE
BIBLE CHURCH 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 personal/family
medical health insurance coverage.
In the event the Volunteer
suffers an injury or condition during participation in Activities, the Volunteer authorizes the Team or
Project Leader to contact the Emergency Contact Person indicated below to
advise them of the Volunteer’s injury or condition and to consult them
regarding the Volunteer’s injury or condition.
4.
Photographic
Release: Volunteer does
hereby grant and convey unto WOODSIDE BIBLE CHURCH all right,
title, and interest in any and all photographic images and video or audio
recordings made by WOODSIDE BIBLE CHURCH and its
volunteers, representatives and partners during the Volunteer’s Activities
with WOODSIDE
BIBLE CHURCH, including, but not limited to, any royalties, proceeds,
or other benefits derived from such photographs or recordings.
By
signing below, the Volunteer has read, understood, and executed this Release as
of the date.