Volunteer Liability & Communication Release

Volunteer Information
Full Name
Emergency Contact Information
Full Name
Liability and Communication Release

LIABILITY RELEASE

I hereby release, indemnify, and hold harmless United Way of Thurston County (hereafter referred to as UWTC) the organizers, the agency at which I, or child I am the legal parent or guardian of, volunteer and sponsors and supervisors of all activities, from any and all liability for any injury I, or children I am the legal parent or guardian of, may suffer (including any injury caused by negligence) in conjunction with volunteering on the above noted date. I likewise hold harmless from liability any person transporting me or the children I am the legal parent to guardian of to or from any UWTC activity. I certify that I and the child I am the legal parent or guardian, of are in good health and able to participate in the volunteer activities on the above noted date. I certify that I am 18 years of age or older and am competent to contract my name as far as the above is concerned. I have read the foregoing release, authorization and agreement, and warrant that I fully understand the contents thereof.

COMMUNICATION RELEASE

I hereby waive any claim to the right to the video and/or photographic recording(s) made of me or children i am the legal parent or guardian of by UWTC or its agency(s) to said UWTC. I hereby authorize the editing, duplication, reproduction, copyright, exhibition, broadcast, and/or nonprofit use, and distribution of said recording(s) for purposes deemed suitable by UWTC. I hereby waive any right to approve the finished products. I hereby certify that I am 18 years of age, or older, and am competent to contract my own name as far as the above is concerned. I have the foregoing release, authorization and agreement, and warrant that I fully understand the contents thereof.

Full Name