Informed Consent
Safety Pledge and Waiver of Liability for Catholic Charities Volunteers
In which office will you be volunteering *
I recognize that, in volunteering, I risk being exposed to and possibly contracting coronavirus (COVID-19) or other potentially fatal illnesses. I realize that this risk is not only to myself, but that I may unintentionally spread the virus to those I love and am close to. *
Required
I pledge that I will follow the safety rules and instructions while engaged in my volunteer activities and that, after volunteering, I shall follow recommended health practices, including with respect to hand washing, cleansing of hard surfaces, social distancing, and avoiding contact with sick and elderly persons. *
Required
I acknowledge that I have read/viewed the safety education materials and videos provided by Catholic Charities. *
Required
I, my heirs, assigns and representatives hereby release, waive, discharge, and hold harmless Catholic Charities and the specific program for which I am volunteering; the Diocese of Raleigh; and their respective officers, agents, volunteers, and employees from any and all liability, claims, demands, damages, fees or expenses, or actions whatsoever arising out of or related to any loss, damage, illness, or injury, including death, that may be sustained by me as a result of my participation as a volunteer. *
Required
By signing and submitting this form, I understand the seriousness of the situation and the risks involved, and knowingly consent to accept the risk and abide by the safety pledge. *
Required
I confirm that I am at least 18 years of age or that this has been completed by my parent or guardian who is at least 18 years of age. *Please type full name in space below.* *
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