Participant Waiver Statement

United Way of Lincoln County

Participant Waiver Statement

(All participants 18 and older and/or parents must sign a copy of this form before being allowed to participate).

 

LIABILITY DISCLAIMER:  In accordance with the spirit of volunteerism and service, I, the undersigned, assume full and complete responsibility for any injury or accident that may occur during my voluntary participation  Therefore, I hereby release, indemnify, and hold harmless: United Way of Lincoln County, outside event organizers, the agency or project site at which I participate; from any and all liability whatsoever under any theory of law, including contract or tort, and any claims, demands, and causes of action for personal injury (including any injury caused by negligence) and/or damage, theft, loss, or any other harm suffered in connection with volunteer activities in association with the United Way of Lincoln County, any event location, and all volunteer sites. I acknowledge that there are certain foreseeable and unforeseeable risks associated with participating in this volunteer activity, including, but not limited to, illness, personal injury, and the effects of the weather, all such risks being understood and appreciated by me.

COMMUNICATIONS RELEASE:  I also hereby assign the rights for the video and /or photographic recording(s) and hereby authorize the editing, duplication, reproduction, copyright, exhibition, broadcast and or nonprofit use and distribution of said recordings for purposes deemed suitable by such agencies listed above.

I hereby waive any right that I may have to inspect and/or approve the finished product or the advertising copy that may be used in connection therewith of the use to which it may be applied. I acknowledge that there is no obligation to use any material authorized by me hereunder.

I hereby warrant that I am of full age and have the right to contract in my own name in the above regard. I state further that I have read the above authorization and release, prior to its execution, and that I am fully familiar with the contents thereof.

United Way of Lincoln County

Participant Waiver Statement

(All participants 18 and older and/or parents must sign a copy of this form before being allowed to participate).

LIABILITY DISCLAIMER:  In accordance with the spirit of volunteerism and service, I, the undersigned, assume full and complete responsibility for any injury or accident that may occur during my voluntary participation.  Therefore, I hereby release, indemnify, and hold harmless: United Way of Lincoln County, outside event organizers, the agency or project site at which I participate; from any and all liability whatsoever under any theory of law, including contract or tort, and any claims, demands, and causes of action for personal injury (including any injury caused by negligence) and/or damage, theft, loss, or any other harm suffered in connection with volunteer activities in association with the United Way of Lincoln County, any event location, and all volunteer sites. I acknowledge that there are certain foreseeable and unforeseeable risks associated with participating in this volunteer activity and/or program, including, but not limited to, illness, personal injury, and the effects of the weather, all such risks being understood and appreciated by me.

COMMUNICATIONS RELEASE:  I also hereby assign the rights for the video and /or photographic recording(s) and hereby authorize the editing, duplication, reproduction, copyright, exhibition, broadcast and or nonprofit use and distribution of said recordings for purposes deemed suitable by such agencies listed above.

I hereby waive any right that I may have to inspect and/or approve the finished product or the advertising copy that may be used in connection therewith of the use to which it may be applied. I acknowledge that there is no obligation to use any material authorized by me hereunder.

I hereby warrant that I am of full age and have the right to contract in my own name in the above regard. I state further that I have read the above authorization and release, prior to its execution, and that I am fully familiar with the contents thereof.

Name:
IF PARTICIPANT IS A MINOR:
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