Volunteer Waiver

RELEASE AGREEMENT

This Release and Waiver of Liability (the “Release”) executed on this ___ day of ______________, 20___, by or on behalf of________________________ (the “Volunteer”) in favor of Habitat for Humanity International, Inc., a nonprofit corporation, and Habitat for Humanity of Madison and Clark Counties (HFHMCC), Inc, Kentucky nonprofit corporation, their directors, officers, employees, volunteers, sponsors, and agents, successors, and assigns (collectively “Habitat”).

The Volunteer desires to volunteer for HFHMCC and engage in activities including constructing and rehabilitating residential buildings and components for same, working in the HFHMCC offices or other facilities, and living in housing provided for volunteers of Habitat (the “Activities”). Volunteer understands that the activities can be hazardous. In consideration for participating in the activities, the Volunteer executes this Release:

RISK OF PERSONAL INJURY: Volunteer releases Habitat from all liability for any claims involving negligence of any party, including claims for personal injury, illness, death, or property damage, that may result from or relate to the Volunteer’s Activities, and injuries resulting from Volunteer’s own conduct or the conduct of Habitat, its agents, or other volunteers. This release includes a release of liability for all claims related to COVID-19 and illnesses or injury related to the virus that causes it. As consideration for being permitted by Habitat to participate in these activities and use their tools and/or facilities, I hereby agree that I, and my assignees, heirs, guardians, and legal representatives will not make claim against, sue, or attach the property of Habitat/ReStore, or the suppliers of any tools or equipment I will use, for injury or damage resulting from my participation in any Habitat activities, and I hereby release Habitat from all actions, claims, or demands that I, my assignees, my heirs, guardians, and legal representatives now have or may hereafter have for injury or damage resulting from my participation in any Habitat activities. *

I have read and understand the Risk of Personal Injury section above and release HFHMCC from liability.

Volunteer releases and forever discharges HFHMCC from any claims whatsoever which arise or may hereafter arise on account of any first aid, treatment, or service rendered in connection with participation in Habitat's work. *

I have read and release HFHMCC from claims arising from first aid, treatment, or service rendered.

EXCLUSION OF MEDICAL INSURANCE: Volunteer also understands that HFHMCC does not assume responsibility for or obligation to provide financial or other assistance, including but not limited to medical, health, or disability insurance. In the event that HFHMCC, in its sole discretion, does maintain insurance that may provide coverage for otherwise released claims, this release shall not operate for the benefit of any such insurance carrier. Each Volunteer is expected and encouraged to maintain his or her own insurance coverage *

I have read and understand the Exclusion of Medical Insurance section above.

PHOTOGRAPHIC RELEASE: Volunteer/Parent/Guardian does hereby grant and convey unto Habitat all right, title, and interest in any and all photographic images and video or audio recordings made by HFHMCC during the Volunteer’s Activities with Habitat, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings. *

I have read and understand the photographic release section above.

OTHER: Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the Commonwealth of Kentucky, and that this Release shall be governed by and interpreted in accordance with the laws of the Commonwealth of Kentucky. Volunteer agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity or of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable. *

I have read and understand the section above.

Volunteer Information

Volunteer Name *

First

Last

Group Affiliation

Date of Birth *

Phone Number *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact Information

Name *

First

Last

Emergency Contact's Relation to Volunteer (spouse, parent, friend) *

Emergency Contact's Phone *

Signature

Please Choose One: *

By executing this waiver, I affirm that I am 18 years old or older.
By signing below, I affirm that I am the parent or legal guardian of the minor volunteer identified and I execute and accept this waiver on behalf of the minor volunteer.

I have read and agree to the information contained in the volunteer waiver above. *

Yes, I have read and agree to the volunteer waiver above..

Name *

First

Last

Signature of Volunteer *

Signature of Parent or Guardian

Date *

Volunteer Waiver

RELEASE AGREEMENT

Volunteer Information

Emergency Contact Information

Signature

HFHMCC Administrative Office