Volunteer with Cheli
Assumption and Acknowledgement of Risks and Release of Liability Agreement
This release form is a contract with legal consequences and applies to all Volunteer with Cheli events and programs.
Please read this carefully before registering for a Volunteer with Cheli service project, social event or activity.
Volunteer Application Status: I understand and agree that submitting this application form does not automatically register me as a volunteer Volunteer with Cheli, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.
Acknowledgement of Risks:· I acknowledge the risks associated with this activity which may or may not include and are not restricted to contact with sharp, contaminated objects; exposure to insects, plants, and/or animals; heat or sun related injuries or illness, including sunburn or dehydration; injuries resulting from lifting heavy objects; exposure to chemicals, cleaners, cement, and paints; and any other risks as presented to me by Volunteer with Cheli, its leaders, and its partner organizations in verbal or written form.
Safety Guidelines: I agree to follow all the safety guidelines and emergency procedures of Volunteer with Cheli and its partner organizations. I agree to not use or be under the influence of drugs and/or alcohol during my participation in today's event/program. I understand that harassment of any kind is not tolerated by Volunteer with Cheli and I recognize that any behavior intended to create discord, discomfort, or restricting volunteers or leaders from participating will not be tolerated. I agree to be safe, use the appropriate personal protective equipment, and use proper lifting techniques for heavy or bulky objects (i.e.: using my legs to push upwards, keeping my back straight and body balanced, soliciting the help of another person to lift objects over 20 pounds, and asking for help if I need assistance). I attest that I am physically fit and prepared to perform the tasks offered to me as a Volunteer with Cheli volunteer. I further agree to use my personal insurance as the primary provider in the event of injury due to my work or participation as a volunteer for Volunteer with Cheli. I shall not operate a personal vehicle for volunteer activities unless I have at least the minimum amount of liability insurance required by California law. Finally, I will report possible hazards or unsafe activities to Volunteer with Cheli leaders and the leaders of its partner organizations.
Express Assumption of Risks and Responsibility: I assume full responsibility for all the risks associated with my participation in this event. My participation is purely voluntary. I understand the requirements and risks of this activity/program/event and have had the opportunity to ask Volunteer with Cheli and its partner organizations for clarification about these requirements and risks. I assume full responsibility for myself and any of my minor children for whom I am responsible, for any bodily injuries, accident, illness, paralysis, death, loss of personal property and expenses thereof, as a result of any accident which may occur as a result of my participation in this event or program.
Loss of Volunteer Personal Property: I hereby release Volunteer with Cheli, its leaders, and its partner organizations in the location this event takes place from liability for any loss or damage of personal property while participating in this event.
Event and Program Release: I hereby release Volunteer with Cheli and its partner organizations from any and all liability of any nature for any and all injury or damage, as a result of my participation in this volunteer event.
Consent For Reference and Background ChecksLoss of Volunteer Personal Property: As an applicant for volunteer services with Volunteer with Cheli, I recognize that beginning volunteer service with Volunteer with Cheli is conditional upon my successfully passing reference screenings. I understand that Volunteer with Cheli may conduct Reference Checks thoroughly and within the confines of all applicable state and federal laws. I hereby voluntarily consent to and authorize Volunteer with Cheli, or its authorized representative bearing this release or copy thereof, in connection with my volunteer application with Volunteer with Cheli, to conduct inquiries related to my character, general reputation, personal characteristics, or mode of living.
Media and Image Release· I also grant Volunteer with Cheli full permission to use photographs or any other likeness of me. I grant permission for Volunteer with Cheli to copyright, use and publish images, in which I may be included in whole or in part, or composite or distorted form, for use in published materials, art, promotion, social media, websites, and any other purpose in order to promote Volunteer with Cheli and its programs or events. I hereby waive the right to inspect, approve, or seek compensation for the finished product.
I have read this Assumption and Acknowledgement of Risks and Release of Liability Agreement. I understand that by participating in this Volunteer with Cheli activity, I am waiving valuable legal rights including any and all rights that I may have against Volunteer with Cheli and its partner organizations in which its programs and events take place, as well as its leaders, organizers, or agents. As a Volunteer with Cheli participant, I hereby agree to hold harmless and waive any and all claims or causes of action against Volunteer with Cheli (or its leaders, volunteers, organizers, and supporters) arising out of any cause whatsoever, including but not limited to claims arising out of negligence or intentional conduct of its leaders or agents. By registering for this event, I acknowledge that I have read, understand and agree to the above Volunteer with Cheli policies, safety procedures, and waivers and I agree to hold harmless Volunteer with Cheli, its leaders, and its partner organizations for any loss or injury that takes place during this event or program.
By submitting this form, I attest that the information I have provided on the form is true and accurate. By checking the "I AGREE" box below, I am agreeing to items listed above.
* Should the volunteer applicant choose not to check the box below or have any questions, please contact the Volunteer Coordinator at Cheli@volunteerwithcheli.org.