Volunteer Assumption of Risk, Waiver of Liability & COVID-19 Agreement
I hereby acknowledge that participation in the Day of Caring is a potentially hazardous activity, and that I should not participate in this event unless I am medically and physically able to do so. With full knowledge and understanding of the foregoing, and in consideration of your acceptance of the entry, I expressly assume any and all risks associated with my voluntary participation in this event.
In addition, I, for myself and for anyone who might claim on my behalf, covenant not to sue and hereby WAIVE, RELEASE AND DISCHARGE the United Way of Jackson County, its agencies’ event workers, officials, volunteers and their representatives, successors, agents, employees and assigns from any and all claims, liabilities, debts and causes of action, whether foreseen or not.
I hereby consent to and authorize the use of the reproduction by the United Way any and all photographs taken this day for the purpose of promotion, without compensation to me.
I hereby certify that I am at least 18 years old. (If participant is under age 18, parent or guardian must sign and an adult must be present during volunteer hours.)
• I attest that I am not experiencing any symptoms of illness such as a fever, cough, or shortness of breath. If I develop these symptoms, I agree that I will cancel my volunteer job placement as far in advance as possible
• I am aware that I must follow the safety and hygiene protocols that have been implemented by the Jackson County United Way
• I attest that:
o I have not traveled to a highly-impacted area within the United States in the past 14 days
o I do not believe that I have been exposed to a person with a confirmed or suspected case of COVID-19
o I have not been diagnosed with COVID-19 and not yet cleared as noncontagious by state or local public health authorities’
o I am following recommended guidelines as much as possible - practicing social distancing by participating in group activities of fewer than 25, trying to maintain separation of six feet from others, and otherwise limiting my exposure to the coronavirus.
Assumption of Risk and Waiver of Liability
I acknowledge that I have voluntarily registered to participate in Day of Caring on Tuesday, May 11. I understand that the scope of my volunteer relationship with Jackson County United Way is limited to a volunteer position and that no compensation is expected in return for services provided by me; that Jackson County United Way will not provide any benefits traditionally associated with employment; and that I am responsible for my own insurance coverage in the event of illness or personal injury as a result of my services at Day of Caring.
I also understand that should I approach the vicinity of syringes, especially in the public areas, I understand that should I find such items, I will leave them where they are and notify the proper authorities for containment. I will not touch nor allow anyone in my volunteer group to touch syringes or any other harmful or suspicious items.
I hereby release, discharge and agree to indemnify and hold Jackson County United Way harmless from, and waive on behalf of myself and my heirs and personal representatives and any minors I am responsible for who volunteer with me, any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of Jackson County United Way, or that may otherwise arise in any way in connection with any voluntary activities with, or for Jackson County United Way.
