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Goshala-BJ & Animal Care

Release and Waiver of Liability

This Release and waiver of liability in favor of Goshala-BJ & Animal Care, a California nonprofit corporation, their directors, officers, employees, visitors/volunteers, agents, partner nonprofits and partner animal sanctuaries that they support or host their volunteer events with/at.

The visitor/Volunteer hereby freely, voluntarily and without duress executes this release under the following terms:

Photo/Video release permission- I understand that Goshala-BJ & Animal Care may take my photos and/or videos of all program participants without any compensation during program activities and events for use in educational or promotional materials in print, multimedia, or web form. I grant permission for the use of my (or my minor child’s) photo/video.

Release and Waiver: Visitor/Volunteer does hereby release and forever discharge and hold harmless Goshala-BJ & Animal Care, and partners and their successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from Visitor/Volunteer’s activities with Goshala-BJ & animal care, and partners.

Visitor/Volunteer understands that this Release discharges Goshala-BJ & Animal Care, and Partners from any liability or claim that the visitor/Volunteer may have against Goshala-BJ Animal Care and Partners with respect to any bodily injury, personal injury, illness, death, or property damage that may result from Visitor/Volunteer’s activities with Goshala-BJ & Animal Care, and Partners, whether caused by the negligence of Goshala-BJ & Animal Care, and partners or their officers, directors, employees, or agents or otherwise.

Visitor/Volunteer also understands that Goshala-BJ & Animal Care, and its partners do not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness.

Medical Treatment-Visitor/Volunteer does hereby release and forever discharge Goshala-BJ & Animal Care, and its partners from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Visitor/Volunteer’s cavities with Goshala-BJ & Animal Care, and Partners.

Assumption of the Risk. The visitor/Volunteer understands that the activities include work that may be hazardous to the visitor/volunteer, including but not limited to, close interaction with very large animals, activities on unimproved or uneven ground and pasture, exposure to insects and wild animals, exposure to farm equipment, tools, and structures. Visitor/Volunteer hereby expressly and specifically assumes the risk of injury or harm in the activities and releases Goshala-BJ & Animal Care and partners from all liability for injury, illness, death, or property damage resulting from the activities.


Minor Child Photo Release

I give my permission to use the photographs for any legal use including but not limited to publicity copyright purposes, illustration, advertising, and web content. Furthermore, I understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.


I am of legal age and am freely signing this agreement. I have read this form and understand that by signing this form, I am giving up legal rights and remedies.

April 25, 2024

 (Signature of Parent/Legal Guardian if Volunteer is Under 18)

I am the parent or legal guardian of the Volunteer. I am of legal age and am freely signing this agreement. I have read this form and understand that by signing this form, I am giving up legal rights and remedies. 

April 25, 2024


PUBLICITY RELEASE

In return for being allowed to participate in Goshala BJ Animal Care volunteer activities and all related activities, including any activities incidental to such participation (“Volunteer Activities”), the undersigned Volunteer or Parent/Legal Guardian of Volunteer if Volunteer is under age 18 (hereafter referred to using “I”, “me”, or “my”) hereby grants to Goshala BJ Animal Care, and each of its subsidiaries, affiliates, agents, advertising or promotional agencies, and partners, and all such entities’ officers, directors, agents, employees, respective successors and assigns (collectively, “Authorized Parties”), the absolute and irrevocable right and permission to use, publish, broadcast and/or copyright the use of Volunteer’s name, address, voice, photograph and/or likeness, caricature, and personal information, in its current form or as retouched, digitized, cropped, altered, distorted or modified in any way, in any and all advertising, promotional, or other materials based upon or derived from the Volunteer Activities in any manner, in any media whatsoever for any and all purposes, including by way of example but without limitation advertising, promoting or publicizing products and services throughout the universe, in perpetuity, in any and all media now known or hereafter devised (including without limitation on the Internet), without additional compensation. I further agree that anything derived therefrom will be owned solely by the Authorized Parties. I shall not authorize the use of any print, negative or other copy thereof by anyone other than the Authorized Parties.

I understand that this document is intended to be as broad and inclusive as permitted by the laws of the state in which the Volunteer Activities take place and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect.

April 25, 2024

(Signature of Volunteer)

I am of legal age and am freely signing this agreement. I have read this form and understand that.

By signing this form, I am giving up legal rights and remedies.

April 25, 2024

I am the parent or legal guardian of the Volunteer. I am of legal age and am freely signing this agreement. I have read this form and understand that by signing this form, I am giving up legal rights and remedies.

April 25, 2024

Insurance. The visitor/volunteer understands that except as otherwise agreed to in writing, Goshala-BJ & Animal Care, and Partners do not carry or maintain health, medical, or disability insurance coverage for any visitor/volunteer. Each visitor/volunteer is expected and encouraged to obtain his or her own medical or health insurance coverage.

In return for being allowed to participate in Goshala- BJ & Animal care & its partners volunteer activities and all related activities, including any activities incidental to such participation (“Volunteer Activities”), the undersigned Volunteer or Parent/Legal Guardian of Volunteer if Volunteer is under age 18 (hereafter referred to using “I”, “me”, or “my”) hereby grants to Goshala BJ Animal Care, and each of its subsidiaries, affiliates, agents, advertising or promotional agencies, and partners, and all such entities’ officers, directors, agents, employees, respective successors and assigns (collectively, “Authorized Parties”), the absolute and irrevocable right and permission to use, publish, broadcast and/or copyright the use of Volunteer’s name, address, voice, photograph and/or likeness, caricature, and personal information, in its current form or as retouched, digitized, cropped, altered, distorted or modified in any way, in any and all advertising, promotional, or other materials based upon or derived from the Volunteer Activities in any manner, in any media whatsoever for any and all purposes, including by way of example but without limitation advertising, promoting or publicizing products and services throughout the universe, in perpetuity, in any and all media now known or hereafter devised (including without limitation on the Internet), without additional compensation. I further agree that anything derived therefrom will be owned solely by the Authorized Parties. I shall not authorize the use of any print, negative or other copy thereof by anyone other than the Authorized Parties. 

Confidentiality Agreement

(for Remote volunteers)

I agree to keep all the research information shared with me confidential by not discussing or sharing the research information in any form or format with anyone other than the Researcher (s.  I will return all research information in any form or format to the Researcher(s)when I have completed the research tasks. After consulting with the Researcher(s), erase or destroy all research information in any form or format regarding this research project that is not returnable to the Researcher(s) (e.g., information stored on a computer hard drive).

I understand that this document is intended to be as broad and inclusive as permitted by the laws of the state in which the Volunteer Activities take place and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect.


Today's date: April 25, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information by e-mail.
Please upload your picture so we can identify you during volunteer events. Selfie time!
  
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Valid file types: JPG, GIF, PNG, and PDF
Please provide a mobile number for communication about the field events updates or changes.

Phone Number: *
For Reserved groups- Please provide the name of the organization.

Coming in with a specific group/organization for e.g. Sunday school, language classes etc? Please provide the name of the organization. If not, please write n/a *
Adults ages 18 years and over, please choose your Volunteer designation.
Please choose your designation.*
Corporate Volunteer(Field event)
Corporate Volunteer (Remote)
Adult 18 years & over
For Corporate volunteers, please choose your employer.

Please list the name of the corporate.
Please list the age group of minor(s) attending the event
Please choose the age of minors attending the field events.
Kids ages 0-5 years old.
Kids ages 5-10 old.
Kids ages 10-15 years old.
Kids ages 15-18 years old
Address
Address Line 1:
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:
City:
State/Province:
Zip/Postal:
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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