Waiver and Release:
Germantown 2020
This Release and Waiver of Liability is in favor of Crescent City Connections, a Louisiana non-profit corporation d/b/a NetWork Volunteers (“NetWork Volunteers”). Volunteer desires to engage in the activities related to being a volunteer for an event coordinated by NetWork Volunteers. The Volunteer understands that the activities may include, but are not limited to use of various hand and power tools with proper training, heavy lifting up to 50lbs, and outdoor volunteering in South Louisiana in extreme summer conditions. The Volunteer hereby freely, voluntarily, and without duress executes this Release under the following terms: 1. Release and Waiver. Volunteer does hereby release and forever discharge and hold harmless NetWork Volunteers, its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, that arise or may hereafter arise from Volunteer's activities that have been coordinated by NetWork Volunteers. VOLUNTEER UNDERSTANDS THAT THIS RELEASE DISCHARGES NETWORK VOLUNTEERS FROM ANY LIABILITY OR CLAIM THAT THE VOLUNTEER MAY HAVE AGAINST NETWORK VOLUNTEERS WITH RESPECT TO ANY BODILY INJURY, PERSONAL INJURY, ILLNESS, DEATH, OR PROPERTY DAMAGE THAT MAY RESULT FROM VOLUNTEER'S ACTIVITIES COORDINATED BY NETWORK VOLUNTEERS, WHETHER CAUSED BY THE NEGLIGENCE OF NETWORK VOLUNTEERS OR ITS OFFICERS, DIRECTORS, EMPLOYEES, OR AGENTS OR OTHERWISE. VOLUNTEER ALSO UNDERSTANDS THAT NETWORK VOLUNTEERS DOES 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 VOLUNTEER’S INJURY OR ILLNESS. 2. Medical Treatment. Volunteer does hereby release and forever discharge NetWork Volunteers from any claim whatsoever which arises or may hereafter arise on account of any first aid treatment, adverse food or alcohol reactions, or service rendered in connection with the Volunteer's activities with NetWork Volunteers. 3. Assumption of the Risk. The Volunteer understands that the activities may involve work that may be hazardous to the Volunteer, including, but not limited to working with hand tools and other equipment, construction or other potentially hazardous work, and transportation to and from the work sites and all work within the specified workzones. Volunteer hereby expressly and specifically assumes the risk of injury or harm in these activities, and releases NetWork Volunteers from all liability for injury, illness, death, or property damage resulting from the volunteer activities. 4. Insurance. The Volunteer understands that, except as otherwise agreed to by NetWork Volunteers in writing, NetWork Volunteers does not carry or maintain health, medical, or disability insurance coverage for any Volunteer. Each Volunteer is expected and encouraged to obtain his or her own medical or health insurance coverage. 5. Photographic Release. Volunteer does hereby grant and convey unto NetWork Volunteers all right, title, and interest in any and all photographic images and video or audio recordings made by NetWork Volunteers during the Volunteer's Activities with NetWork Volunteers, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings. 6. Other. Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Louisiana, and that this Release shall be governed by and interpreted in accordance with the laws of the State of Louisiana. Volunteer also agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable. I certify that I am at least 18 years of age (or if under 18 years of age, that I am joined herein by my parent or legal guardian and this release is signed voluntarily and without expectation of compensation in any form.
Name of Volunteer:
Date of Birth:
Email Address:
Physical Address:
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St Kitts & Nevis
St Lucia
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Other
Volunteer Signature:
Click on box and drag cursor/mouse to sign
Clear
Legal Guardian Signature (if volunteer is under 18 years of age):
Click on box and drag cursor/mouse to sign
Clear
SUBMIT FORM