Volunteer Interest Form
Thanks so much for your interest in working with LEAP. Please use this form to register as a volunteer with LEAP and we will follow up with you soon.
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Name (first and last) *
Email address *
Phone number
What is your preferred method of communication?
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Area(s) of volunteer interest (check all that apply) *
Volunteer type *
What day(s) of the week are you available to volunteer? (Check all that apply) *
Do you have specific skillsets you could apply to your volunteer work with LEAP? If so, what are they?
This Release and Waiver of Liability (the “release”) executed on this day by the above cited volunteer or intern releases Local Environmental Agriculture Project (LEAP), a nonprofit corporation organized and existing under the laws of the State of Virginia and each of its directors, officers, employees, and agents. The volunteer or intern desires to provide volunteer or intern services for LEAP and engage in activities related to serving as a volunteer or intern. Volunteer or intern understands that the scope of volunteer’s or intern’s relationship with LEAP is limited to a volunteer or intern position and that no compensation is expected in return for services provided by volunteer or intern; that LEAP will not provide any benefits traditionally associated with employment to volunteer or intern; and that volunteer or intern is responsible for his/her own insurance coverage in the event of personal injury or illness as a result of volunteer’s or intern’s services to LEAP. 1. Waiver and Release: I, the Volunteer or Intern, release and forever discharge and hold harmless LEAP and its successors and assigns from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the services I provide to LEAP. I understand and acknowledge that this Release discharges LEAP from any liability or claim that I may have against LEAP with respect to bodily injury, personal injury, illness, death, or property damage that may result from the services I provide to LEAP or occurring while I am providing volunteer or intern services. 2. Insurance: Further I understand that LEAP does not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health, or disability benefits or insurance. I expressly waive any such claim for compensation or liability on the part of LEAP beyond what may be offered freely by LEAP in the event of injury or medical expenses incurred by me. 3. Medical Treatment: I hereby Release and forever discharge LEAP from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my tenure as a volunteer or intern with LEAP. 4. Assumption of Risk: I understand that the services I provide to LEAP may include activities that may be hazardous to me including, but not limited to manual labor and community engagement. As a volunteer or intern, I hereby expressly assume risk of injury or harm from these activities and Release LEAP from all liability. 5. Photographic Release: I grant and convey to LEAP all rights, titles, and interests in any and all photographs, images, video, or audio recordings of me or my likeness or voice made by LEAP in connection with my providing volunteer or intern services to LEAP. 6. Other: As a volunteer or intern, I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Virginia and that this Release shall be governed by and interpreted in accordance with the laws of the State of Virginia. I agree that in the event that any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected. By signing below, I express my understanding and intent to enter into this Release and Waiver of Liability willingly and voluntarily. By selecting the "I Accept" button, you are signing this agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "I Accept" you consent to be legally bound by this Agreement's terms and conditions. *
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