Practicum - Volunteer Agreement
Please fill out if you are in the 301 Practicum Course this year.
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PLEASE NOTE:
The practicum is not required. It involves community outreach, where you (student) will go door-to-door and engage in conversations about life with individuals who may or may not share your views. Each participant in the practicum will have a partner, and you will be broken into small groups and given a team leader from the organization Created Equal, who is trained in this kind of outreach. We will also have a police officer in the neighborhood you will be walking in, and all the team leaders will be able to contact the officer if any situations arise. Additionally, we have pre-screened the neighborhood selected for this activity, to avoid overly hostile interactions. 
We strongly recommend that you attend this practicum, because it provides an incredibly valuable, safe, real-life experience that you will not receive elsewhere. However, if you choose to opt out of this experience, you can do so. If you are not going on the practicum, you will instead attend the 201-level training sessions on Saturday morning, at 8:30 and 10:30 AM. These sessions will be a repeat of the 201-level training you would have received last year. If you have any questions about this, or if you want to have a discussion about the safety of the outreach, please contact Phoebe (event coordinator) at 260-450-7852. 
VOLUNTEER AGREEMENT:
1. I understand that if I disregard or violate this volunteer agreement, I may be required to discontinue participation with Right to Life of Northeast Indiana at the discretion of Right to Life of Northeast Indiana.
2. I will always treat people with respect, even if they are angry and/or verbally abusive. I will not shout at people.
3. I will never trespass on private property or disrupt any event at which a Right to Life of Northeast Indiana display takes place. I will obey all applicable laws.
4. I will direct media, university officials, or law enforcement officials to the Right to Life of Northeast  
             Indiana Staff.
5. If passers-by threaten Right to Life of Northeast Indiana’s property, I will call for law enforcement officers. I will not attempt to physically intervene.
6. If passers-by threaten Right to Life of Northeast Indiana staff, volunteers, and/or myself, I will call for law enforcement officers. If I am unable to remove myself and others from the presence of threatening persons, I understand that I am allowed to take lawful steps to protect others and myself from risk of injury.
7. I will neither carry nor have any weapons (including firearms) with me.
8. I condemn abortion-related violence in all forms.
9. I permit the use by Right to Life of Northeast Indiana of any video or photos taken of me while volunteering with Right to Life of Northeast Indiana for promotion or other non-commercial purpose.

WAIVER AND HOLD HARMLESS AGREEMENT:
I agree to use my personal medical insurance as the primary medical coverage payment if accident or injury occurs. In the event that my emergency contacts cannot be reached, I hereby authorize the physician or dentist selected by Right to Life of Northeast Indiana to hospitalize, secure treatment, and to order injection, anesthesia, or surgery.

In consideration of my voluntary participation with Right to Life of Northeast Indiana, I hereby waive all claims of action against Right to Life of Northeast Indiana, Inc. and its officers, directors, employees, and agents, all of which are collectively in this waiver and hold harmless provision referred to as “the Organization”, arising out of my voluntary participation with Right to Life of Northeast Indiana and hereby release, hold harmless, and discharge the Organization from all liability in connection therewith.

Knowing, understanding, and fully appreciating all possible risk, I hereby expressly, voluntarily, and willingly assume all risk and dangers associated with my participation in the event.  These risks could result in damage to property, personal and/or bodily injury or death.

I have read this waiver and release and understand the terms used in it and their legal significance.  This waiver and release is freely and voluntarily given with the understanding that right to legal recourse against the Organization is knowingly given up in return for allowing my participation with Right to Life of Northeast Indiana.

My signature on this document is intended to bind not only myself but also my successors, heirs, representatives, administrators, and assigns.

I HAVE READ THE ABOVE VOLUNTEER AGREEMENT, INCLUDING THE WAIVER AND HOLD HARMLESS PROVISION, AND BY SIGNING IT AGREE TO ABIDE BY ITS TERMS.  IT IS MY INTENTION TO EXEMPT AND RELIEVE THE ORGANIZATION FROM LIABILITY FOR PERSONAL, INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.


If under 18, parent/guardian signature required:
If 18 or older, signature of applicant required:
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