Fillable Volunteer Waiver Release Of Liability printable pdf download

Volunteer Waiver Release Of Liability

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VOLUNTEER WAIVER & RELEASE OF LIABILITY

I, ______________________________________, am voluntarily participating in the Oakland

Public Works volunteer program at ________________________. I have read and agree to follow the Volunteer

Guidelines. I acknowledge my participation in these events does not come without the risk of injury or harm; I

accept this risk, and assume responsibility for all liability and risk associated with my participation.

I agree to hold harmless, release, waive and forever discharge the City of Oakland, its

employees, departments, officers and agents, from any and all claims or demands I may have by reason of any

accident, illness, injury, loss, destruction or damage to property, arising or resulting directly or indirectly from my

participation in this activity. I further covenant not to bring any legal action against the City of Oakland, its

employees, departments, officers and agents, for any injury, loss or damage resulting from my participation in this

activity.

This Waiver and Release is contractual and not a mere recital and applies whether or not injury

or loss resulting from this activity is caused by an act or omission of the City, its employees, departments, officers

or agents, negligent or otherwise.

This Waiver and Release is binding on my heirs, executors, administrators, assigns, and all of my

family members, and applies to all losses, whether known or unknown, suspected or unsuspected, related to my

participation in this activity.

I hereby grant permission to the City of Oakland to use photographs and video of me taken

during this activity on its website and in other publications, at the City’s sole discretion and without further

consideration.

This Waiver and Release was executed on ______________, 20___ in Oakland, California and is

valid for a 12 month period from the date of signing.

_________________________________

______________

___________________________

____________

Print Participant’s Name

Age (if under 18)

Signature of Participant*

Date

*If under 18 years old, parent or guardian must also sign below

_______________________________

____________________________

Print Parent/Guardian Name

Signature of Parent/Guardian

This form and a version that accommodates multiple signatures are available at

Public Works Department  Bureau of Facilities & Environment  Environmental Services Division

Adopt a Spot Program  250 Frank H. Ogawa Plaza, Suite 5301, Oakland CA 94612

Volunteer Waiver Release Of Liability

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