COVID-19 Volunteer Addendum
Safety Addendum and Waiver of Liability for Note in the Pocket Volunteers.

This document is to coincide with our Volunteer Registration form on our website. If you have not registered as a Volunteer, please also do that here -

**Children aged 13-15 may volunteer at Note in the Pocket when accompanied 1:1 by an adult. Children aged 16 and up may volunteer unaccompanied. If a child is 12 and under, they are not permitted to volunteer.
Email address *
I accept full responsibility that, in volunteering, I risk being exposed to and possibly contracting coronavirus (COVID-19) or other potentially fatal or non-fatal illnesses. I realize that this risk is not only to myself, but that I may unintentionally spread the virus or illness to others. *
I agree to follow the safety rules and instructions while engaged in my volunteer activities with Note in the Pocket and that, after volunteering, I shall follow recommended health practices, including hand washing, cleansing of hard surfaces, social distancing, avoiding contact with sick and elderly persons without using appropriate PPE. In doing so, I knowingly do so at my own risk and risk to others. *
I agree that if I am exhibiting, or have exhibited any COVID-19 symptoms such as a fever, persistent cough, etc. in the past 3 days, that I will stay at home and get tested, if possible, to avoid infecting others. *
I acknowledge that I have read/viewed the safety education materials and videos provided by Note in the Pocket, and I pledge to follow the safety guidelines implemented by Note in the Pocket at all times. *
On behalf of myself, my heirs, assigns and representatives, I hereby release, waive, discharge, and hold harmless Note in the Pocket and its respective officers, directors, 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 at Note in the Pocket. *
By accepting and submitting this form, I acknowledge the seriousness of the health risks involved, and knowingly consent to accept the risk and abide by the safety pledge. *
Today's Date *
Full Name *
If under 18, I confirm that this addendum was read and approved by a parent or guardian. (If over 18 click NA). *
Parent or Legal Guardian (If over 18 put NA) *
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