Volunteer Contract/Waiver
Bay Area Volunteer Waiver Form
Read the terms, and by entering your name into the box below, you confirm your affirmation of the policies outlined below. This constitutes your digital signature.
As a volunteer, I, the undersigned, agree to • abide by and support the philosophy, policy, and guidelines of the organization • act in the best interests of the organization • maintain confidentiality • abide by safety and risk management requirements • carry out the tasks outlined in the Role Description • attend meetings on the agreed time and day • to work without financial reward • to work without benefits, including employment insurance benefits upon the termination of this agreement or as a result of this service • to participate in required physical activity (i.e. standing, lifting and carrying up books & stationery etc..) with knowledge of the hazards and potential injuries involved, and to accept any and all risks of personal injury and property damage • I, and my assignee's, heirs, guardians, and legal representatives, will not make a claim against or sue ‘Empower And Excel’ or its Board members, employees, partners or volunteers for injury or damage resulting from the negligence, whether active or passive, or other acts, however caused, by any of its officers, employees, partners or volunteers of ‘Empower And Excel’ as a result of my volunteering • I, hereby release and discharge ‘Empower And Excel’ and its officers, employees, agents and contractors from all actions, claims, or demands that I, my heirs, guardian and legal representatives now have, or may have in the future, for injury or damage resulting from my participation in the projects • Empower And Excel is not responsible to provide ride to the assignment location • Volunteers are responsible to reach location on time • to be photographed & video recorded during volunteer work and allow usage in any media • maintain a record of my volunteer hours and ensure that information is given/posted • raise any matters of concern with project leader or leadership team.
Required
Volunteer Name
Your answer
School Name (If you are not a student then type N/A)
Your answer
Grade Level (If you are not a student then type N/A)
Your answer
Age
Your answer
Tshirt Size
XS
S
M
L
XL
Youth
Adult
Volunteer Email Address
Your answer
Email Address for Notifications/Updates/ Primary Communication. This is the only email we use for signups.
Your answer
Phone Number for What'sApp Group. If you do not want to be in group type N/A
Your answer
Home Address
House Number, Street Name
Your answer
City
City
Your answer
State
Your answer
Zipcode
Your answer
Country
Your answer
Phone Number (home)
Your answer
Phone Number(cell)
Your answer
Emergency Contact #1
(name)
Your answer
Emergency Contact #1
(relation to volunteer)
Your answer
Emergency Contact #1
(phone number)
Your answer
Emergency Contact #1
(email)
Your answer
Emergency Contact #2
(name)
Your answer
Emergency Contact #2
(relation to volunteer)
Your answer
Emergency Contact #2
(phone number)
Your answer
Emergency Contact #2
(email)
Your answer
Mother's Phone Number
(only if different from emergency contacts)
Your answer
Mother's Email
(only if different from emergency contacts)
Your answer
Father's Phone Number
(only if different from emergency contacts)
Your answer
Father's Email
(only if different from emergency contacts)
Your answer
Your hobbies & skills:
Your answer
If Participant is under 18, read the following permission slip (write N/A if not applicable, write the volunteer's name if applicable)
My son/daughter_______ has my permission to volunteer for the ‘Empower And Excel’ Non-Profit organization. We have talked about his/her responsibilities to follow all rules & safety regulations during this activity.
Your answer
Volunteer's Digital Signature
Your answer
Parent/Guardian's Digital Signature
Your answer
Check the following box to acknowledge that you have read and agree with all the terms, policies, and guidelines set forth in this document.
Required
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