Hands Across Rockdale Volunteer Registration
Are you volunteering with a group or organization?
If yes, name of group or organization:
Please read and agree to the following liability waiver for the 2018 Hands Across Rockdale Day of Community Service:In consideration of my desire to serve as a volunteer for Hands Across Rockdale, I hereby assume all responsibility for any and all risk of property damage or bodily injury that I may sustain while participating in any voluntary effort or other activity of any nature, including the use of equipment and facilities on the project site.Further, I, for myself and my heir, executors, administrators and assigns, hereby release, waive and discharge Hands Across Rockdale and its officers, directors, employees, agents and volunteers of and from any and all claims which I or my heirs, administrators and assigns ever may have against any of the above for, on account of, by reason of or arising in connection with such volunteer relief efforts or my participation therein, and hereby waive all such claims, demands and causes of action. Further, I expressly agree that this release, waiver and indemnity agreement is intended to be as broad and inclusive as permitted by the State of Georgia, and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. I currently have no known mental or physical condition that would impair my capability for full participation as intended or expected of me. I authorize the use of my name, voice, photograph, likeness, performance and/or biography by Hands Across Rockdale , the Board of Directors,and their officers, employees and agents in connection with any use of a product arising out of My Participation in the above-described Program.
Yes, I agree.
Please sign with your electronic signature:
For children under 18, parent/guardian electronic signature:
Please share any preferences or limitations regarding your community service commitment:
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