New Creation: Joplin, MO
Liability Waiver For Volunteers
- Jul 10, 2011
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NEW CREATION CHURCH VOLUNTEER GUIDELINES AND RELEASE FORM
Thank you for volunteering to participate in the 2011 Joplin, Missouri relief effort. Your participation is appreciated and vital to the effort to assist our Joplin community during this relief and recovery effort. The cleanup and relief effort is organized by New Creation Church, a Christian charitable organization committed to the wellbeing and rebuilding of our Joplin community after the devastating tornado of May 22, 2011.
In consideration of permitting you to participate in the Joplin relief effort of New Creation Church (hereinafter, the “Effort”), the Volunteer must read, understand and agree to the information below (or a Parent or Guardian in the case of a minor) that includes, among other things, volunteer guidelines, risks associated with the Effort and a Release from any and all liability of the Effort. In order to ensure that we have the best and safest Effort possible, the Volunteer must be aware of and agree to the following:
The Volunteer must sign and turn in this Form to an approved representative of NEW CREATION CHURCH upon arrival. THE VOLUNTEER WILL NOT BE ALLOWED TO PARTICIPATE IN THE EFFORT UNLESS THEY DO THIS.
The Volunteer agrees to abide by the instructions and recommendations of the staff of the Effort (Hereinafter, “Staff”) at all times while serving as a Volunteer and furthermore agrees that in the event the Volunteer is asked by the Staff to terminate his or her association with the Effort, he or she shall do so immediately.
The Volunteer may be working in hot, humid, wet, or otherwise difficult conditions. As a result, we recommend the Volunteer wear protective clothing appropriate to the conditions including, among other things, hard soled shoes; hats for protection from the sun; and other appropriate work clothing.
The Staff requires the Volunteers to use gloves in the handling of all debris while working in the field and that great care is used when picking up sharp or potentially harmful objects.
Volunteers involved in the preparation and distribution of food or drink shall take all measures of hygiene and food service safety that are recommended by the Staff. Failure to do so shall be grounds for termination in the Effort.
Do not pick up any type of hazardous or biohazard waste and avoid all areas marked or clearly identifiable as hazardous or unsafe as may be reasonably identifiable or by instruction of the Staff.
The Volunteer should only be engaged in the level of physical activity to which the Volunteer is accustomed and for which he or she is appropriately fit. Do not attempt to use equipment the Volunteer is not familiar with; for example chain saws, axes, heavy machinery, etc., and the Volunteer agrees that any such use of materials or equipment comes at the Volunteer’s own risk.
THE VOLUNTEER, AND ON BEHALF OF THEIR PERSONAL REPRESENTATIVES, HEIRS, NEXT-OF-KIN, ASSIGNS, PARENTS AND GUARDIANS, DOES HEREBY RELEASE AND DISCHARGE NEW CREATION CHURCH, ITS OFFICERS, DIRECTORS, EMPLOYEES, VOLUNTEERS, AGENTS, REPRESENTATIVES, SPONSORS, DONORS, AFFILIATED ORGANIZATIONS, AND ANY ENTITY OR INDIVIDUAL ASSOCIATED WITH NEW CREATION CHURCH DURING THE EFFORT (COLLECTIVELY “RELEASEES”), FROM ANY AND ALL CLAIMS, DEMANDS, LOSSES, COSTS, FEES (INCLUDING ATTORNEYS FEES), EXPENSES, SUITS, DAMAGES, OBLIGATIONS, LIABILITIES, CAUSES OF ACTION AND JUDGMENTS WHATSOEVER, IN LAW OR IN EQUITY (COLLECTIVELY “DAMAGES”), WHICH THE VOLUNTEER MAY HAVE ARISING OUT OF, ASSOCIATED, OR IN CONNECTION WITH, PARTICIPATION IN THE EFFORT, SPECIFICALLY INCLUDING, BUT NOT LIMITED TO, DAMAGES CAUSED BY THE RELEASEES’ NEGLIGENCE. FURTHER, THE VOLUNTEER UNDERSTANDS THAT THERE ARE RISKS AND DANGERS INVOLVED WITH THE EFFORT. THEREFORE, THE VOLUNTEER AGREES TO ASSUME ANY AND ALL RISKS ASSOCIATED WITH THEIR PARTICIPATION IN THE EFFORT INCLUDING, WITHOUT LIMITATION, ANY AND ALL RISKS OF PERSONAL INJURIES, INCLUDING SERIOUS INJURY OR DEATH, OR DAMAGE OR LOSS TO PROPERTY, CAUSED BY, OR ASSOCIATED WITH THE VOLUNTEER’S PARTICIPATION IN THE EFFORT.
Name (“Volunteer”): _______________________________ Date: _______________________
Signature: _______________________________________
Contact Number: _______________________________________
Representative Signature: _______________________________________
(Signature of parent or legal guardian if volunteer is under 18 or signature for adult responsible for group of such, if applicable)