Volunteer Liability Waiver and Agreement
This document explains possible risks of volunteering and includes liability waivers, consents, and other legal agreements.
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Full Name (as displayed in Drivers License / ID card) *
Parent Name if volunteer is under 18 years of age
Emergency Contact Name and Number *
This Release and Waiver of Liability (the “Release”) executed on this day (date selected below) by (the Volunteer - Name mentioned above”) in favor of Islamic Center of Osceola Inc a nonprofit corporation, their directors, officers, employees, and agents (collectively, “Islamic Center of Osceola Inc [Masjid Taqwa]”). *
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Release and Waiver. *
In consideration of the opportunity afforded me to participate as a volunteer for  Islamic Center of Osceola Inc [Masjid Taqwa]  Ramadan Program, I do hereby knowingly, freely and voluntarily release, waive and forever discharge and hold harmless  Islamic Center of Osceola Inc [Masjid Taqwa] , its officers, employees, agents and volunteers from any and all liability, losses, expenses, damages, claims, demands, causes of action or judgments, actions, suits of whatever kind or nature, either in law or in equity, including without limitation attorneys' fees and court costs, which may be sustained by me and/or my family directly or indirectly in connection with, or arising out of my participation as a volunteer, whether caused in whole or in part by the negligence of  Islamic Center of Osceola Inc [Masjid Taqwa] , its officers, employees, agents, volunteers or otherwise.
Release and Waiver. *
I further agree not to represent myself as an officer, agent or employee of Islamic Center of Osceola Inc [Masjid Taqwa] and acknowledge that I am participating as a volunteer for the Islamic Center of Osceola Inc [Masjid Taqwa], on my own time and outside the scope of my employment, and that I am not entitled to any stipend, or fringe benefit. I further agree that any vehicle that I drive to, from or during a volunteer activity is not property of or an instrumentality of the Islamic Center of Osceola Inc [Masjid Taqwa] but rather my own property. I acknowledge that the Islamic Center of Osceola Inc [Masjid Taqwa] will not be responsible or liable for any personal injury or property damage caused in whole or in part by my personal vehicle. I have read this Release and Wavier of liability form and fully understand its terms. I further understand that I have given up substantial rights by signing this form and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of any and all liability to the greatest extent permitted by law and agree that if any portion of this Release and Waiver is held to be invalid, the balance not withstanding, shall continue in full legal force and effect.  
Medical Treatment. *
Volunteer does hereby release and forever discharge  Islamic Center of Osceola Inc [Masjid Taqwa] from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Volunteer’s Activities with  Islamic Center of Osceola Inc [Masjid Taqwa] .
Photographic Release. *
Volunteer does hereby grant and convey unto  Islamic Center of Osceola Inc [Masjid Taqwa] and all right, title, and interest in any and all photographic images and video or audio record- ings made by Habitat and Partners during the Volunteer’s Activities with  Islamic Center of Osceola Inc [Masjid Taqwa] , including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.
By typing Initials i agree as digital signature. *
I HAVE READ AND VOLUNTARILY SIGN THIS RELEASE, WAIVER AND INDEMNITY AGREEMENT, and further agree that no oral representatives, statements, or inducements apart from the foregoing written agreements have been made.
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