PRISM Waiver Form
RELEASE AND INDEMNITY AGREEMENT

I, the undersigned, acknowledge that participation in PRISM events involves risk to me and may result in various types of injury, including but not limited to, sickness (which would include Covid-19), bodily injury, death, emotional injury, personal injury, property damage and financial loss. In consideration of the opportunity to participate in any PRISM event, I acknowledge and accept the risks of injury associated with participation in and transportation to and from any PRISM event. I accept personal financial responsibility for any injury or other loss sustained during any PRISM event or during transportation to or from any PRISM event, as well as for any medical treatment rendered to me that is authorized by PRISM or its agents, employees, volunteers or any other of its representatives. Further, I release and promise to indemnify, defend and hold harmless PRISM, its agents, employees, volunteers, and representatives for any injury arising directly or indirectly out of any PRISM event or transportation to or from any PRISM event, whether such injury arises out of the negligence of PRISM, its agents, employees, volunteers, or representatives, or otherwise. The term “PRISM event” as used herein means any and all trips, meetings, conferences, visits, and other events sponsored by, or directed or led by, PRISM or its agents, employees, volunteers or any other of its representatives. If a dispute over this agreement or any claim for damages arises, I agree to resolve the matter through a mutually acceptable alternative dispute resolution process. If PRISM and I cannot agree upon such a process, the dispute will be submitted to a three member arbitration panel for resolution pursuant to the rules of the American Arbitration Association. I have read this document and understand that by entering my name in the box below, I am effectively providing my signature.
First and Last Name (Full Name): *
In consideration of the opportunity to participate as a PRISM volunteer for: (ex. General Activities, Holiday Hosting, Friendship Partner, Mentoring, Bible Study, Garage Giveaway, English, Conversation Partner, etc. ) *
I have read this document and understand that by entering my name in the box below, I am effectively providing my signature. *
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Today's Date: *
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