Habitat for Humanity2515 N. Kickapoo Shawnee, OK 74804 Phone: 405/2141-0434 |
PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!
The undersigned (the “volunteer”) has agreed to work as a volunteer for Habitat for Humanity of Shawnee, Inc. (“the Habitat affiliate”), an affiliate of Habitat for Humanity, International, Americus, Georgia (“Habitat”). 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 Habitat and its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from Volunteer’s Activities with Habitat.
Volunteer understands that this Release discharges Habitat
from any liability or claim that the Volunteer may have against Habitat with
respect to any bodily injury, personal injury, illness, death, or property
damage that may result from Volunteer’s Activities with Habitat, whether caused by the negligence of
Habitat or its officers, directors, employees, or agents or otherwise.
Volunteer also understands that Habitat 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 Habitat 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 Habitat.
3. Assumption of the Risk. The Volunteer understands that the Activities included work that may be hazardous to the Volunteer, including, but not limited to, construction, loading and unloading, 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 Habitat 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 Habitat in writing, Habitat 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 Habitat all right, title, and interest in any and all photographic images and video or audio recordings made by Habitat during the Volunteer’s Activities with Habitat, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.
6. Other. Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Oklahoma, and that this Release shall be governed by and interpreted in accordance with the laws of the State of Oklahoma. Volunteer agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.
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Name (print):
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Date: |
Phone: |
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Signature:
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EMail address: |
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Address/ Organization: |
Age: ____________
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If under 18, Parent/ guardian signature required below.) |
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Check if you wish to be notified when volunteers are needed for future work days? ________ |
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NOTE: If volunteer is under 18 years of age, parent/guardian signature is required. No children under the age of 14 are permitted on the work site during Work Days. Volunteers who are 14 or 15 years of age must be accompanied by an adult throughout the Work Day. All volunteers under age 18 are prohibited from engaging in certain construction activities.
Signature of Parent/Guardian: _____________________________
Name (print): ________________________________
Address: ____________________________________ Emergency Phone: __________________________