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WITH Grace Initiative Volunteer Form
Ready to make an impact in the lives of others? Then please fill out the below form and we will contact you with next steps! Thank you for taking the initiative!

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Email *
First Name *
Last Name *
Street Address *
City / State / Zip *
Email Address *
Phone Number *
Preferred method of contact *
How did you hear about the WITH Grace Initiative? *
Why are you taking the initiative to help us make an impact? What drives you to get involved WITH us? *
Have you volunteered before? If so, what did you do and when?
What areas are of interest to you?
We have many options for volunteering! Live action, virtual, work on your own and report back and more! We are excited to have new friends! Please let us know how much time you are looking to give so we can match you up accordingly.
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What else would you like to share with us? What should we know about you? Something that inspires you...something that you want to work on...favorite ice cream flavor...how are you a good fit for the team...?
Check here if you are under 18 years old. *
If under 18, please confirm parent/guardian consent and contact information.
Would you like to be on our mailing list for newsletters, updates and events?
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Emergency contact name *
Emergency contact number *
Release of Liability: In return for being allowed to participate in WITH Grace Initiative volunteer activities and all related activities, including any activities incidental to such participation (“Volunteer Activities”), the undersigned Volunteer or Parent/Legal Guardian of Volunteer if Volunteer is under age 18 (hereafter referred to using “I”, “me”, or “my”) releases and agrees not to sue the WITH Grace Initiative or its officers, directors, employees, sub-contractors, sponsors, agents and affiliates (“the Foundation”) from all present and future claims that may be made by me, my family, estate, heirs, or assigns for property damage, personal injury, or wrongful death arising as a result of my participation in the Volunteer Activities wherever, whenever, or however the same may occur. I understand and agree that the Foundation are not responsible for any injury or property damage arising out of the Volunteer Activities, even if caused by their ordinary negligence or otherwise. I understand that participation in the Volunteer Activities may involves certain risks, including, but not limited to, serious injury and death. I am voluntarily participating in the Volunteer Activities with knowledge of the danger involved and I agree to accept all risks of participation. I also agree to indemnify and hold harmless the Foundation for all claims arising out of my participation in the Volunteer Activities. I understand that this document is intended to be as broad and inclusive as permitted by the laws of the state in which the Volunteer Activities take place and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect. I also acknowledge that the Foundation have not arranged and do not carry any insurance of any kind for my benefit or that of Volunteer (if Volunteer is under 18), my parents, guardians, trustees, heirs, executors, administrators, successors and assigns. I represent that, to my knowledge, I am in good health and suffer no physical impairment that would or should prevent my participation in Volunteer Activities. I also understand that this document is a contract which grants certain rights to and eliminates the liability of the Foundation. Publicity Release: In return for being allowed to participate in WITH Grace Initiative volunteer activities and all related activities, including any activities incidental to such participation (“Volunteer Activities”), the undersigned Volunteer or Parent/Legal Guardian of Volunteer if Volunteer is under age 18 (hereafter referred to using “I”, “me”, or “my”) hereby grants to the Foundation, and each of its subsidiaries, affiliates, agents, advertising or promotional agencies, and partners, and all such entities’ officers, directors, agents, employees, respective successors and assigns (collectively, “Authorized Parties”), the absolute and irrevocable right and permission to use, publish, broadcast and/or copyright the use of Volunteer’s name, address, voice, photograph and/or likeness, caricature, and personal information, in its current form or as retouched, digitized, cropped, altered, distorted or modified in any way, in any and all advertising, promotional, or other materials based upon or derived from the Volunteer Activities in any manner, in any media whatsoever for any and all purposes, including by way of example but without limitation advertising, promoting or publicizing products and services throughout the universe, in perpetuity, in any and all media now known or hereafter devised (including without limitation on the Internet), without additional compensation. I further agree that anything derived there from will be owned solely by the Authorized Parties. I shall not authorize the use of any print, negative or other copy thereof by anyone other than the Authorized Parties. I understand that this document is intended to be as broad and inclusive as permitted by the laws of the state in which the Volunteer Activities take place and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect. WITH Grace Initiative Intellectual Property (IP) Waiver The Participant acknowledges that any intellectual property (including but not limited to inventions, creations, works, ideas, and materials) produced or generated by the Participant in the course of participating in WITH Grace Initiative Programs/Volunteering/activities etc. (collectively referred to as "IP") remains the exclusive property of the WITH Grace Initiative. The Participant understands that the Organization claims rights to the IP, and the Organization retains full ownership and control over the IP of work generated while participating in Programs/Volunteering/activities etc.of WITH Grace Initiative.The Participant hereby grants the Organization a non-exclusive, worldwide, royalty-free license to use, reproduce, distribute, display, and modify the Participant's IP solely for the purposes of promoting and advancing the Organization's mission, programs, and activities.This license includes the right to publicly showcase the Participant's IP in promotional materials, on the Organization's website, social media platforms, and other communication channels.The Participant acknowledges that they are not entitled to any financial compensation or royalties from the Organization for the use of their IP under this Waiver. The Participant agrees to indemnify and hold the Organization harmless from any claims, liabilities, or disputes related to the Participant's IP or any third-party claims arising from the use of the Participant's IP. This IP verbiage in the Waiver shall remain in effect indefinitely, unless terminated in writing by either party. This IP verbiage in the Waiver constitutes the entire agreement between the Participant and the Organization regarding the use and ownership of the Participant's IP and supersedes all prior or contemporaneous understandings or agreements, whether written or oral. By signing this Waiver, the Participant acknowledges and agrees to the terms and conditions outlined herein.

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By digitally placing your name here you agree to the release.
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