Volunteer form with reDiscover Center
Email address *
Your name *
Home Address: *
Telephone number: *
Email: *
Reason you want to volunteer *
How You heard of us *
Volunteer Interests. *
Days of the week you are available. Note we are open 3-6pm weekdays and 11am-5pm weekends. *camp days are 9-3pm weekdays. *
Release of Liability, Assumption of Risk, Indemnification, and Medical Release Agreement NOTICE: This document affects your legal rights; please read carefully before signing. I, the undersigned, being at least 18 years of age, hereby represent that I am the Parent or Guardian of the child volunteering and/or I, the undersigned, being at least 18 years of age, desire to participate in activities operated by ReDiscover Center. Each of the undersigned recognizes and acknowledges that there are risks in participating in activities through and/or using facilities or equipment of reDiscover Center (collectively, the “Activities”), including risk of physical injury, disability, death and/or damage to, or loss of, personal property (“Risks”). Knowing this, on behalf of myself and each above-referenced child, and my/our representatives, heirs, next of kin, successors and assigns (collectively, “Participant”), I agree as follows: OF RISK: Each Participant knowingly and freely assumes all of the Risks described above, including those arising from the negligence of reDiscover Center or its employees, agents, officers or directors (collectively, “reDiscover Center Affiliates”).OF LIABILITY: Each Participant hereby releases and forever discharges the reDiscover Center Affiliates from any and all claims, actions, damages, liabilities, costs or expenses and attorneys’ fees (collectively, “Losses”) that are related to, arise out of, or are in any way connected to, the Activities. This release does not extend to claims for gross negligence, intentional or reckless misconduct, or any other liabilities that California law does not permit to be excluded by agreement. Each Participant also agrees not to sue or make a claim against the reDiscover Center Affiliates for death, injuries, loss or harm that occurs during the Activities or that is related in any way to the Activities. INDEMNIFICATION: Each of the undersigned agrees jointly and severally to indemnify, hold harmless, and defend the reDiscover Center Affiliates from and against any and all Losses (including for ordinary negligence) which may arise from a breach by me or any Participant of this agreement, from my actions or the actions of any Participant in connection with the Activities or from any lack of capacity on my part to execute this agreement on behalf of Participant. Each of the undersigned agrees, jointly and severally, to be financially responsible for any damage to property Participant may cause during an Activity. EMERGENCY CONSENT: In case of emergency, I hereby give permission to the reDiscover Center to order treatment for me and my child(ren). This includes any necessary medical treatment and x-rays. I understand that this authorization is given prior to any need for medical care, but given to avoid unnecessary delay in emergency treatment which the attendant and/or medical professional may deem advisable in the exercise of best judgment. I further agree that reDiscover Center Affiliates shall not be liable under any circumstances to anyone for exercising and/or ordering emergency medical treatment for Participant. GENERAL: This agreement will be governed and construed in accordance with the laws of the State of California. I agree that the purpose of this agreement is that it shall be an enforceable waiver, release and indemnity as broad and inclusive as is permitted by California law. I agree that if any portion or provision of this agreement is found to be invalid or unenforceable, then the remainder will remain in full force and effect. ACKNOWLEGEMENT OF UNDERSTANDING: To the extent a Participant is a minor, I represent and warrant that I am the Parent or legal Guardian of each such Participant and that I am acting in such capacity in executing this document. I HAVE CAREFULLY READ the foregoing Release of Liability, Assumption of Risk, Indemnification, and Medical Release Agreement. I understand that this agreement relates to surrendering valuable legal rights of myself and my child(ren) - including the right to sue. I understand, and I agree to be legally bound by all the terms and conditions in this agreement to the extent permitted by law. My child(ren) and I agree to follow all laws, rules and guidelines regulating the conduct of the program. I acknowledge and agree that no oral representations, statements, or other inducements to sign this agreement were made apart from what is contained in this agreement. I further acknowledge that this is the complete and entire agreement and that I am signing this agreement freely, fully and voluntarily. *
In Case of Emergency: please contact (enter person's name, relationship to you and their phone number) *
For Youth Volunteers*Volunteers under 18 years old need to have waiver from signed by their legal guardian. Please confirm you are over 18. *
Never submit passwords through Google Forms.
This form was created inside of rediscover center. Report Abuse