Minor Volunteer Release Form

___________________________________
Minor Volunteer Release Form
Name
Address
City
E-mail
Cell Phone
State
Parent/Guardian Name
Address
City
E-mail
Cell Phone
State
Emergency Contact Name
Relationship
Date
Zip
Home Phone
Zip
Home Phone
Phone
RELEASE AND WAIVER
I wish to volunteer for ______________________________________________________. I understand that the nature of volunteer activities
that I may perform in my capacity as a volunteer may involve physical activity, contact with unidentified and/or unfamiliar persons, or other
potential risk of bodily injury or damage to property. Knowing this and in consideration of being allowed to volunteer, I HEREBY ASSUME
FULL AND COMPLETE RESPONSIBILITY FOR ANY PERSONAL INJURY AND/OR PROPERTY DAMAGE THAT I
SUSTAIN OR CAUSE DURING MY PARTICIPATION AS A VOLUNTEER. IN ADDITION, I, FOR MYSELF, MY CHILD, MY
HEIRS, EXECUTORS, ADMINISTRATORS, AND ANYONE IN PRIVITY WITH ME, HEREBY RELEASE, HOLD HARMLESS
AND COVENANT NOT TO FILE SUIT AGAINST THE ___________________________________________, THE EVENT
DIRECTOR, ANY OF THEIR EMPLOYEES, VOLUNTEERS, PARTNERS, AGENTS, SPONSORS, BOARD MEMBERS,
ASSIGNS AND SUCCESSORS FROM ANY AND ALL LOSS, LIABILITY OR CLAIMS I MAY HAVE ARISING OUT OF MY
SERVICE AS A VOLUNTEER.
I will additionally permit the use of my name and pictures in broadcasts, telecasts, newspapers, brochures, etc. As a participating volunteer, I certify
all information provided in this form is true and complete.
Minor Signature
Print Name
PARENT/GUARDIAN'S RELEASE AND WAIVER FOR CHILD'S PARTICIPATION
I wish _____________________________ (name of minor) to volunteer for __________________________________________. I understand
that the nature of volunteer activities that my child may perform in my child's capacity as a volunteer may involve physical activity, contact with
unidentified and/or unfamiliar persons, or other potential risk of bodily injury or damage to property. Knowing this and in consideration of my
child being allowed to volunteer, I HEREBY ASSUME FULL AND COMPLETE RESPONSIBILITY FOR ANY PERSONAL INJURY
AND/OR PROPERTY DAMAGE THAT MY CHILD SUSTAINS OR CAUSES DURING MY CHILD'S PARTICIPATION AS A
VOLUNTEER. IN ADDITION, I, FOR MYSELF, MY CHILD, MY HEIRS, EXECUTORS, ADMINISTRATORS, AND ANYONE
IN PRIVITY WITH ME, HEREBY RELEASE, HOLD HARMLESS AND COVENANT NOT TO FILE SUIT AGAINST
__________________________________________________, THE EVENT DIRECTOR, AND ANY OF THEIR EMPLOYEES,
VOLUNTEERS, PARTNERS, AGENTS, SPONSORS, BOARD MEMBERS, ASSIGNS AND SUCCESSORS FROM ANY AND
ALL LOSS, LIABILITY OR CLAIMS I MAY HAVE ARISING OUT OF MY CHILD'S SERVICE AS A VOLUNTEER.
I will additionally permit the use of my child's name and pictures in broadcasts, telecasts, newspapers, brochures, etc. As a participating volunteer, I
certify all information provided in this form is true and complete.
Parent/Guardian Signature
Print Name
Date