Request edit access
Service Without Walls Waiver
1 Volunteer Waiver per Adult
(Over 18) or Family (married only)
Adult Participant(s) Name(s)
Participant(s) acknowledge that they are voluntarily participating in a charitable event to serve the homeless, sponsored/partnered by Service Without Walls, Inc.Participants also acknowledge that such events may take place in areas within the city limits of Atlanta and/or in other challenged neighborhoods and that such voluntary participation has the potential risk of being exposed to criminal activity which may result in the loss of property of or personal injury to the Participant. Participant fully assumes the risks associated with the participation in the eventBy being present, acknowledging and/or participation in these events volunteers, servers and or participants do hereby agree to hold harmless, not file suit and promise to indemnify, Service Without Walls, Inc., its officers, directors, owners and/or agents from any and all claims, demands, causes of action and other liabilities that may arise while: serving, visiting, participating, in route to or from a sponsored/partner event. Participation and presence at our sponsored/partner events also indicates your approval for your and any minor dependents to be pictured in video, photographs and likeness by Service Without Walls, Inc. and may be used on promotional and/or other materials, websites and/or social media sites.
I Agree for myself (Adult)
I Agree for myself and minor child/children
I Agree for my minor child(ren) with a designated responsible adult
We agree as a married couple (Husband & Wife)
We agree as a married couple (Husband & Wife) & minor child/children
Name of Responsible Adult
Name(s) Minor Children
Send me a copy of my responses.
Please complete the captcha before submitting the form.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service