Please provide a name and email address for a parent or guardian, they will need to sign off for you.
Parent/guardian first name:
Parent/guardian email:
Certification and Waiver (over 18)
In completing this volunteer agreement, I certify the following:
* The information provided in my Volunteer Profile is true and correct to the best of my knowledge.
* I accept the mission, goals, and values of the Outreach experience I have indicated.
* I agree to use caution during my volunteer experience and have read and understand the
VOLUNTEER HANDBOOK for this volunteer experience found
here.
* The undersigned participant gives permission for that person to participate in the volunteer experiences as noted, and assumes all responsibility for any injuries to that participant and any loss or damage of property that may occur.
* The undersigned also indemnifies and holds harmless The Outreach House and any and all leaders supervising such activity, against any and all direct or indirect claims and damages whatsoever in connection to this experience.
* Further, the undersigned grants permission to the Pantry Director, or The Outreach Coordinator or designee to obtain any needed medical treatment for this participant.
Media Release
* I understand that I may be photographed or videotaped (collectively “Media Materials”) while volunteering at The Outreach House. I give The Outreach house and its funding partners permission to use Media Materials in which I am visibly recognizable in Annual Reports, newspaper articles, newsletters, on websites and in other promotional materials.
* I release The Outreach House and its funding partners from any claim and all claims and demands arising out of or in conjunction with the use of Media Materials consistent with this agreement.
I hereby acknowledge that I have been given reasonable opportunity to read the forgoing waiver and release of claims, and media release, and that I have read and fully understand and accept its provisions.