The Food Group Volunteer Electronic Waiver

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The undersigned Volunteer has agreed to work as a volunteer for the The Food Group. As a Volunteer I understand that some of the activities performed by volunteers of the The Food Group involve a risk of injury, including the inherent risks associated with any warehouse, gardening and/or gleaning activities.

As a Volunteer I hereby expressly release, relinquish, and forever discharge the The Food Group, and their respective successors and representatives (collectively, the “Released Parties”), of and from any and all claims, which the undersigned may have against the Released Parties arising out of volunteer service for the The Food Group and any and all related activities.

Additionally, as a Volunteer I hereby authorize the The Food Group to take photographs of myself, the Volunteer, and to use or publish such photos (either still photos or film/video) as they see fit and I waive any rights and any claims I might have regarding the taking or publishing of any such photos.

Please make sure ALL information is filled out for every volunteer with the appropriate signature(s).

PLEASE ANSWER THE FOLLOWING REQUIRED HEALTH SCREENING QUESTIONS. YOU WILL BE ASKED THE SAME QUESTIONS UPON ARRIVAL TO YOUR SHIFT. *

I am at least 16 years of age.

I am comfortable lifting 25 lbs.

I have not traveled out of the state within the past 14 days.

My temperature is lower than 100.4 degrees.

I am not sick or exhibiting symptoms including fever, sore throat, or shortness of breath in the last 14 days.

I have not been around anyone with previous symptoms or a positive test for COVID-19 or influenza A and B.

I do not have a serious underlying medical condition.

Required

Name (First, MI, Last) *

Telephone Number (xxx-xxx-xxxx) *

E-mail Address *

Home Address (Street Address, City, State, ZIP) *

Name of Volunteer Group (if applicable)

Signature (your full legal name, typed, will serve as your e-signature) *

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