732-818-9500
info@nohfh.com
Home
About Us
About NOHFH
Our Board and Staff
Habitat Happenings
Financials
Contact Us
Job and Internship Opportunities
Programs
Homeownership
Home Repair
Special Event Builds
Volunteer
Volunteer Information
Habitat Global
General Volunteer Application
Release & Waiver
ReStore
Events
Home Sponsorship
Donate
Release & Waiver
Volunteer
Habitat Global
General Volunteer Application
Construction Volunteer Application
Release & Waiver
Go to Page:
Select Page
Volunteer
Habitat Global
General Volunteer Application
Construction Volunteer Application
Release & Waiver
Waiver and Release
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
Email
Are you over the age of 18?
(Required)
Yes
No
Event or Volunteer Project:
(Required)
Are you with a company or group? If so, please put the company name here:
Waiver and Release
(Required)
I agree.
I, the Volunteer and/or Event Participant, desire to participate in an event or work as a volunteer for one or more of the Released Parties without compensation and engage in the activities related to being a volunteer and/or event participant. I understand that my activities may include but are not limited to the following: working at Habitat for Humanity offices and worksites; working in or for Habitat for Humanity ReStore operations; loading and unloading materials; traveling to and from work sites, towns, cities or countries; participating as a volunteer and/or event attendee at a fundraiser or special event, consuming food available or provided; living in housing provided for volunteers; assisting in disaster relief areas; constructing, repairing, and rehabilitating residential buildings; other construction-related activities; and other in-person and/or online volunteer or event ("Activities").
I, the Volunteer and/or Event Participant, understand that my Activities may include work that may be hazardous to me, including, but not limited to, exposure to lead, asbestos, and mold, which may cause or worsen certain illnesses, especially if I do not wear protective equipment, am exposed for extended periods of time, or have a pre-existing immune system deficiency.
I also understand there is some inherent risk in consuming local foods and living in local accommodations in the city(ies) or country(ies) visited. I further understand I may be traveling to and from locations where there is a risk of terrorism, war, insurrection, criminal activities, instability, inclement weather, or other circumstances that could threaten my health or safety. I also understand that it is the policy of the Released Parties not to pay a ransom or make any other payments to secure the release of hostages.
I, the Volunteer and/or Event Participant, hereby freely, voluntarily, and without duress execute this Release under the following terms:
RELEASE AND WAIVER. I, the Volunteer and/or Event Participant, acknowledge and understand that participation in the Activities may involve certain risks, including, but not limited to, personal injury(ies), bodily injury, illness, permanent disability, property damage, loss, and/or death (“Risks”). These Risks include but are not limited to exposure to and/or infection with COVID-19 and/or other viruses and/or bacterial infection even in ideal conditions and despite any and all reasonable efforts made to mitigate such Risks. I further acknowledge and agree that, due to the nature of the Activities, the social distancing of six feet per person will not always be possible and that my participation in the Activities may result in an elevated risk of contracting COVID-19 and/or other viruses and/or bacterial infection.
I, the Volunteer and/or Event Participant, further confirm that prior to engaging in the Activities, I may be required to complete a COVID-19 health screening questionnaire provided by one or more of the Released Parties. I agree that I will answer all questions on the questionnaire truthfully. I agree to not participate in any Activities if, at such time and to the best of my knowledge, I am a carrier of COVID-19 or infected with COVID-19. I further agree to follow all safety precautions outlined by any Released Party while volunteering or participating in an event.
In consideration of and in order to be allowed to participate in the Activities, I do hereby release and forever discharge and hold harmless the Released Parties and their successors and assigns from any and all liability, claims, demands, costs, and damages of any kind, whether arising from tort, contract or otherwise, which I or my heirs, assigns, next of kin or legal representatives may have or which may hereinafter accrue, arise from, or are in any way related to my Activities with any of the Released Parties, including but not limited to Risks, whether caused wholly or in part by the simple negligence, fault or other misconduct of any of the Released Parties or of other volunteers/event participants, other than their intentional or grossly negligent conduct. In addition, the Released Parties shall have the benefit of any future liability protection for businesses as relating to the COVID-19 pandemic passed by any governmental entity to which the Released Parties are subject.
I understand and acknowledge that by signing this Release, I knowingly assume the Risks associated with the Activities. I also understand that the Released Parties do not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury, illness, death, or property damage. Regarding any sickness, disease, or virus, including COVID-19, I, the Volunteer and/or Event Participant, understand that even if I follow all guidelines for the prevention and handling of any illness or virus, including COVID-19, there is still a risk that Volunteer and/or Event Participant could contract such virus or illness.
CHILDREN UNDER THE AGE OF 16. I understand and acknowledge that children under the age of 16 are not allowed on Habitat for Humanity worksites while construction is in progress. While minors between the ages of 16 and 18 may be allowed to participate in some types of build site activities, solely as outlined by the Released Parties, I understand that using power tools, excavation, demolition, working on rooftops, and similar activities are not permitted for anyone under the age of 18. I agree it is my responsibility to communicate these requirements to any of my minor children who will attend and/or participate in the Activities.
CONSENT TO TRANSPORTATION AND MEDICAL TREATMENT. I consent to the use of first aid treatment and the use of generic and over-the-counter medications and treatments as directed by manufacturer labels, whether administered by the Released Parties or first aid personnel. In an emergency, I understand the Released Parties may try to contact the individual listed below as an emergency contact. If an emergency contact cannot be reached promptly, I hereby authorize the Released Parties to act as an agent for me to consent to any examination, testing, x-rays, medical, dental, or surgical treatment for me as advised by a physician, dentist or other health care provider. This includes, but is not limited to, my assessment, evaluation, medical care and treatment, anesthesia, hospitalization, or other health care treatment or procedure as advised by a physician, dentist, or other health care provider. I also authorize the Released Parties to arrange for my transportation as deemed necessary and appropriate at their discretion. I, the Volunteer and/or Event Participant, do hereby release, forever discharge and hold harmless the Released Parties from any liability, claim, demand, and action whatsoever brought by me or on my behalf which arises or may hereafter arise on account of any transportation, first aid, assessment, care, treatment, response or service rendered in connection with my Activities with any of the Released Parties.
IF THE VOLUNTEER AND/OR EVENT PARTICIPANT IS LESS THAN 18 YEARS OF AGE, the parent(s) having legal custody and/or the legal guardian(s) of the Volunteer and/or Event Participant also hereby release, forever discharge and hold harmless the Released Parties from any liability, claim, demand and action whatsoever brought by the such volunteer and/or event participant on their behalf which arises or may hereafter arise on account of the decision by any representative or agent of the Released Parties to exercise the power to transport, administer first aid, and consent to assessment, examination, x-rays, medical, dental, surgical or other such health care treatment as set forth in the Parental Authorization for Treatment of, and Travel With, a Minor Child.
INSURANCE. I understand that, except as otherwise agreed to by the Released Parties in writing, the Released Parties are under no obligation to provide, carry or maintain health, medical, travel, disability, or other insurance coverage for any Volunteer and/or Event Participant. Each Volunteer and/or Event Participant is expected and encouraged to obtain their own health, medical, travel, disability, or other insurance coverage.
I understand that I am and remain responsible for payment of such hospital, physician, ambulance, dental, medical, or other services obtained for my child or me. I agree that the Released Parties do not assume any responsibility for the payment of such fees or expenses that may be incurred. If I have health insurance, I understand my personal health insurance is my primary coverage.
CONFIDENTIALITY. I agree that in the course of my participation in the Activities, I may have access to personal and/or health care information of other persons. I agree to maintain the confidentiality of such information, to use such information only as necessary to do my job as a Volunteer and/or Event Participant, and to comply with Habitat for applicable policies regarding such information.
PHOTOGRAPHIC/RECORDING RELEASE. I hereby grant and convey unto the Released Parties all right, title, and interest in any and all photographs and video/audio/electronic recordings of me, including as to my name, image, and voice, made by or on behalf of any of the Released Parties during my Activities with the Released Parties, including, but not limited to, the right to use such materials for any purpose and to any royalties, proceeds or other benefits derived from them. I understand that I will not have any ownership interest in or to such photographs, images, and/or recordings, I have not been provided or promised any compensation to me, and I hereby waive any rights, privileges, or claims based on any right of publicity, privacy, ownership or any other rights arising, relating to or resulting from the photographs, images and/or recordings. I understand and agree that this paragraph also applies to my minor child(ren) who are volunteering or participating in an event.
OTHER. I expressly agree that this Release is intended to be as broad and inclusive as permitted by state law. I further agree that in the event that any clause or provision of this Release is held invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining clauses or provisions of this Release, which shall continue to be enforceable. Further, a waiver of a right under this Release by a Released Party does not prevent the exercise of any other right.
I have carefully considered my decision, the benefits and risks involved, and hereby give my informed consent to participate in all volunteer and event Activities. I have read and understand this Release and Waiver of Liability, I acknowledge that any questions of mine have been answered, and I voluntarily agree to the above provisions. It is my intent to bind my heirs, next of kin, assigns, and legal representatives.
Signature
(Required)
By signing here, you are agreeing to the terms and conditions listed above. I hereby certify that, to the best of my knowledge, the provided information is true and accurate.
Date
(Required)
MM slash DD slash YYYY
Parent or Legal Guardian's Name
(Required)
First
Last
Parent Phone
Parent Email
Parent or Legal Guardian's Signature
(Required)
Date
(Required)
MM slash DD slash YYYY
Want to fill out a physical form?
Click Here