Volunteer Release and Waiver of Liability Form

VOLUNTEER RELEASE AND WAIVER OF LIABILITY FORM

I, THE UNDERSIGNED VOLUNTEER FREELY, VOLUNTARILY AND AFTER READING CAREFULLY, EXECUTE THIS VOLUNTEER RELEASE AND WAIVER OF LIABILITY ON THE DATE PRINTED BELOW AGREEING AS FOLLOWS:

VOLUNTEER STATUS/INSURANCE: I understand and acknowledge that I am a volunteer, not an employee of New Jersey Strong. As a volunteer, I am not entitles to employee or other benefits from New Jersey Strong such as health or accident insurance, workers compensation benefits, or compensation for duties performed or hours worked. I understand it is my responsibility to provide my own health, disability, liability or accident insurance to cover my claims or damages from any injury, illness, death or property damage I suffer while performing volunteer work for New Jersey Strong.

ASSUMPTION OF RISK/RELEASE: As a volunteer for New Jersey Strong, I understand that I will engage in hazardous work that involves a risk of illness, physical injury, property damage, or death from hard physical labor, heavy lifting, exposure to environmental hazards such as mold or inclement weather, and work on ladders, roofs, or other elevated or damaged structures. I also understand that I may be provided equipment to use in performing volunteer activities, which is dangerous to operate and can cause serious injury or death. I hereby assume all risks associated with performance of claims or damages I might have the result from my work with New Jersey Strong as a volunteer, and any related claims or damages arising from New Jersey Strong’s selection of work activities, provision of equipment, or provision of food, lodging, or transportation in connection with my volunteer duties. I understand that New Jersey Strong is not responsible for the safety or security of my personal effects and release New Jersey Strong from liability for theft, damage or destruction of my personal property.

PHOTOGRAPHY AND VIDEOS: I acknowledge and agree that while volunteering with New Jersey Strong my activities may be photographed or videotaped. I hereby consent to the use of New Jersey Strong photographs or videos in which I appear, and I acknowledge and agree that I have no ownership rights in or to those photographs or videos.

EMERGENCY MEDICAL CARE: I hereby consent to the provision or procurement by New Jersey Strong of emergency medical care or first aid in the event I suffer illness or accident while performing volunteer activities. I hereby release, discharge and hold New Jersey Strong harmless form any claim related to the provision of such emergency medical care.

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