Volunteer Agreement And Release From Liability printable pdf download

VOLUNTEER AGREEMENT

AND RELEASE FROM LIABILITY

As a Senior Services North Fulton, Inc. volunteer, the lasting impression you make on those you serve reflects directly on

all of us. Please be sure your words and actions help build our program and its reputation for quality.

This Volunteer Agreement (the “Agreement”) is executed on this ___ day of _______________, 20___, between

___________________ (the “Volunteer”), and Senior Services North Fulton, Inc., a Georgia nonprofit corporation (“Senior

Services"), and on behalf of their directors, officers, trustees, employees, volunteers and agents (each, a “Party” and

collectively, the “Parties”).

Assumption of the Risk. As a volunteer, I understand that I control the dates and times when I am available to

volunteer. However, I understand that Senior Services will coordinate and schedule my volunteer activities for certain

Senior Services programs and agree to follow the Senior Services procedures for scheduling said volunteer activities.

I am aware that participation as a volunteer may require periods of standing, lifting and carrying up to 20 pounds, and

operating an automobile, and will require the exercise of reasonable care to avoid injury. I am voluntarily participating

in this activity with knowledge of the hazards and potential dangers involved, and agree to accept any and all risks of

personal injury and property damage.

Waiver and Release. I HEREBY AGREE THAT I, AND MY ASSIGNEES, HEIRS, GUARDIANS, AND LEGAL

REPRESENTATIVES, HEREBY RELEASE AND FOREVER DISCHARGE SENIOR SERVICES AND ITS

OFFICERS, DIRECTORS, EMPLOYEES, AGENTS OR CONTRACTORS AND THEIR SUCCESSORS AND

ASSIGNS

(COLLECTIVELY,

“RELEASEES”)

FROM

ANY

AND

ALL

LIABILITY,

CLAIMS,

DEMANDS,

OBLIGATIONS, CAUSES OF ACTION, DAMAGES, PENALTIES, COSTS, EXPENSES, ATTORNEYS’ FEES, AND

INDEMNITIES OF WHATEVER KIND OR NATURE, WHETHER BASED IN CONTRACT, TORT, STATUTE, OR

OTHER LEGAL OR EQUITABLE THEORY OF RECOVERY, WHICH ARISE OR MAY HEREAFTER ARISE IN

CONNECTION WITH MY ACTIVITIES WITH SENIOR SERVICES, INCLUDING, BUT NOT LIMITED TO, ANY

BODILY INJURY, PERSONAL INJURY, ILLNESS, DEATH, OR PROPERTY DAMAGE, WHETHER CAUSED BY

THE NEGLIGENCE OF RELEASEES OR OTHERWISE, THAT MAY RESULT FROM MY VOLUNTEER ACTIVITIES

WITH SENIOR SERVICES. THE PARTIES AGREE THAT THIS SECTION 2 IS A MATERIAL CONSIDERATION

FOR ENTERING INTO THIS AGREEMENT.

Medical Treatment. I understand that if I am injured in the course of the project, I am not covered by Senior Services’

Workers’ Compensation program. I authorize Senior Services to seek emergency medical treatment on my behalf in

case of injury, accident or illness to me arising from my involvement as a volunteer. I understand that I will be

responsible for medical costs incurred by such accident, illness or injury. I further release Senior Services from any

claim or action whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service

rendered in connection with my volunteer activities with Senior Services.

Photographic Release. I authorize Senior Services, acting through its agents, employees, or representatives, to take

photographs, video recordings, and/or audio recordings of me, including my name, image, likeness, performance,

and/or voice (“Recordings”). I also grant Senior Services an unlimited right to reproduce, use, exhibit, display,

perform, broadcast, create derivative works from, and distribute the Recordings in any manner or media now existing

or hereafter developed, in perpetuity, throughout the world. I agree that the Recordings may be used by Senior

Services for any purpose, including but not limited to, marketing, advertising, publicity, or other promotional purposes.

I agree that Senior Services will have final editorial authority over the use of the Recordings, and waive any right to

inspect or approve of any future use of the Recordings. I acknowledge that I am not expecting to receive

compensation for participating in the Recordings or for any future use of the Recordings. I release and fully discharge

Senior Services, and its employees, agents, and representatives, from any claim, damages, or liability arising from or

related to my participation in the Recordings or Senior Services’ future use of the Recordings.

Rev. 05/14

Volunteer Agreement And Release From Liability

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