Day of Caring- Project Request

1 Start 2 Complete
I agree to provide all volunteers at my project site a light lunch and beverages
Include all materials that you are not able to supply for the completion of this project

I am the owner and occupant of the above listed property. I give permission to volunteers from Jackson County United Way Day of Caring to work on my property for the purpose of the projects described below. I understand that these are not professionals working for profit, and that no warranty is made as to the quality of work done. In consideration of the volunteer services to be rendered to me or my property by the volunteers, I the undersigned, release and agree to hold harmless Jackson County United Way, its staff, volunteers, representatives and any related agency from liability, injury, damages, accident delay or irregularity related to the aforementioned volunteer services. This release covers all rights and causes of action of every kind, nature and description, which the undersigned ever had, now has, or but for this release, may have. This release binds the undersigned and his/her heirs, representatives and assignee. Consent to Use and Publication of Image In consideration of participation in Jackson County United Way Day of Caring, I hereby give Jackson County United Way the absolute, unconditional, and irrevocable right and permission to use my name and to use, reproduce, edit, exhibit, project, display, copyright, and publish, photographic images and/or moving pictures and/or videotaped images of me with or without voice, in which I am included, in whole or in part, photographed, taped, videotaped, and/or recorded prior to, during, and/or after the Jackson County United Way Day of Caring project and, to circulate same in any and all forms and media for art, advertising, trade purposes, and competition, of every description and any other lawful purpose whatsoever, and I hereby consent to the use of all printed matter in conjunction therewith and waive all rights to inspect and/or to approve drafts, finished products, and/or editorial, promotional, and printed copy, and/or sound tracks, and hereby discharge and agree to hold Jackson County United Way, its staff, volunteers, and representatives harmless and fully indemnify Jackson County United Way Day of Caring from and against any and all claims arising by virtue of any blurring, distortion, alteration, optical illusion, or use in composite from, whether intentional or otherwise, that may occur or be produced in the production, processing, duplication, projecting, or displaying of said images of me and from any and all Claims for violation of any personal and all proprietary rights of that I may have or may claim to have in connection with such images and with the production, alteration, use, distribution, and disposition thereof. This consent will remain in effect until the owner revokes via a written notice.

* Day of Caring (DOC) is funded through in-kind and monetary donations; please provide materials needed for your project

  • You must provide a certificate of insurance (COI):
    • Mail to PO Box 94 Seymour, IN 47274
    • Drop off at 113 N. Chestnut St. Suite 301 Seymour, IN 47274 
    • Fax to 812-524-8176
    • Or email to Bonita Dobbs at 
  • Please plan to provide your volunteer crew with a light lunch and beverages as a thank you for their time on Day of Caring