School Street Food Pantry Volunteer Agreement & Waiver
Please read and electronically sign name.
I. STATUS AS A VOLUNTEER. I have voluntarily agreed to assist with School Street Food Pantry at First United Methodist Church. I understand as a volunteer that I will not be paid for my services, that I will not be covered by any medical or other insurance coverage and that I will not be eligible for any Worker’s Compensation benefits in connection with my service.
II. RELEASE AND WAIVER OF LIABILITY AND HOLD HARMLESS. I hereby generally and forever release and discharge, and agree not to sue the food pantry, the church, its officers, employees agents, students, volunteers and suppliers, from and against any and all manner of claims, causes of action, or liability which I may have now or at anytime in the future which may arise out of or relate to any injury, loss, damage, or harm of any kind which may result or may happen to me while I am volunteering with the food pantry, including injury, loss, damage or harm which may result from the negligence of the church, its officers, employees, agents, students, volunteers and/or suppliers. I further agree to indemnify, defend, protect, and hold harmless the food pantry, church, its officers, employees, agents, students, volunteers, and/or suppliers, from and against any and all manner of claims, causes of action, or liability, arising out of or relating to any accident, injury, illness, or damage, including death, to me which may occur during my voluntary participation in the food pantry.
III. CONFIDENTIALITY. As a volunteer of the School Street Food Pantry at First United Methodist Church, I agree to maintain the privacy and confidentiality of any and all personal information of users. I recognize the value and sensitivity of confidential information, and I agree not to copy, discuss, or otherwise disclose any participant information to anyone who does not have official responsibilities regarding that information of the food pantry. I agree to keep all participant information completely confidential for an indefinite period of time, even after I am no longer volunteering with the food pantry. I understand that failure to comply with this policy may result in my immediate dismissal as a volunteer.
I HAVE CAREFULLY READ THIS RELEASE AND WAIVER OF LIABILITY AND FULLY UNDERSTAND ITS CONTENTS. I ACKNOWLEDGE AND AGREE THAT THIS RELEASE AND WAIVER OF LIABILITY SHALL BE BINDING UPON MY SURVIVORS, HEIRS, SUCCESSORS, AND ASSIGNS. I AM AWARE THAT THIS RELEASE AND MY WAIVER OF LIABILITY IS A RELEASE OF LIABILITY, INCLUDING BUT NOT LIMITED TO, LIABILITY FOR NEGLIGENCE, AND AN INDEMNIFICATION AGREEMENT, AND I SIGN IT OF MY OWN FREE WILL.
I am over the age of eighteen (18) years and I am competent to sign this Volunteer Agreement. I certify by placing my name in this box I consent to electronically signing. *
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