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Release and Waiver of Liability

This release and waiver of liability (the “Release”) executed on August 24, 2019 by the volunteer or the volunteer's parent/guardian (the "Volunteer") in favor of The Fuller Center for Housing of Macon, Georgia, Inc., and its partner organizations, and their directors, officers, employees, and agents (collectively, “The Fuller Center Macon”).  The Volunteer desires to work as a volunteer for The Fuller Center for Housing of Macon, GA and engage in the activities related to being a volunteer. The Volunteer understands that the activities may include constructing and rehabilitating residential buildings, traveling to and from the work site location, working in The Fuller Center offices, and living in housing provided for Volunteers of The Fuller Center Macon. The Volunteer does hereby freely, and without duress, execute this Release under the following terms:

1. Waiver and Release The Volunteer does hereby release and forever discharge and hold harmless The Fuller Center Macon and its successors and assigns from any and all liability, claims, and demands of whatever nature, either in law or in equity, which arise or may hereafter arise from the Volunteer’s work for The Fuller Center Macon. The Volunteer understands and acknowledges that this Release discharges The Fuller Center Macon from any liability or claim that the Volunteer may have against The Fuller Center Macon with respect to any bodily injury, personal injury, illness, death, or property damage that may result from Volunteer’s participation in The Fuller Center Macon’s home building program.  The Volunteer also understands that, except as otherwise agreed to by The Fuller Center Macon in writing, The Fuller Center Macon does 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.

2. Medical Treatment Except as otherwise agreed to by The Fuller Center Macon in writing, the Volunteer does hereby release and forever discharge The Fuller Center Macon from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Volunteer’s work for The Fuller Center for Housing of Macon, GA.

3. Assumption of the Risk The Volunteer understands that work for The Fuller Center Macon may include activities that may be hazardous to the Volunteer, including, but not limited to, construction, loading and unloading, and transportation to and from the work sites. In connection thereto, the Volunteer recognizes and understands that activities at The Fuller Center may, in some situations, involve inherently dangerous activities. The Volunteer hereby expressly and specifically assumes the risk of injury or harm in these activities and releases The Fuller Center from all liability for injury, illness, death, or property damage resulting from the activities of the Volunteer’s work for The Fuller Center.

4. Insurance The Volunteer understands that, except as otherwise agree to by The Fuller Center Macon in writing, The Fuller Center Macon does not carry or maintain health, medical, or disability insurance coverage for any Volunteer. Each Volunteer is expected and encouraged to arrive with medical or health insurance coverage in effect.

5. Photographic Release Volunteer does hereby grant and convey unto The Fuller Center of Macon during the Volunteer’s work at The Fuller Center Macon, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.

6. Consent to use electronic signatures and transmission of documents.  Volunteer consents to allow the use of an electronic signature and electronic transmission of this agreement. Volunteer agrees not to deny the legal effect or enforceability of this agreement solely because it is in electronic form or was transmitted electronically or because it is not in its original form as an original document. 

7. Other Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the Volunteer's home state and Georgia, and that this Release shall be governed by and interpreted in accordance with the laws of the State of Georgia.  Volunteer agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court or competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.  

IN WITNESS WHEREOF, Volunteer has executed this Release as of the day and time at which it was signed.

First Volunteer's Name

First Name*

Middle Name

Last Name*

Phone*
First Volunteer's Date of Birth*
First Volunteer's Group

Group Name
First Volunteer's Signature*
Second Volunteer's Name

First Name*

Middle Name

Last Name*
Second Volunteer's Date of Birth*
Second Volunteer's Group

Group Name
Third Volunteer's Name

First Name*

Middle Name

Last Name*
Third Volunteer's Date of Birth*
Third Volunteer's Group

Group Name
Fourth Volunteer's Name

First Name*

Middle Name

Last Name*
Fourth Volunteer's Date of Birth*
Fourth Volunteer's Group

Group Name
Fifth Volunteer's Name

First Name*

Middle Name

Last Name*
Fifth Volunteer's Date of Birth*
Fifth Volunteer's Group

Group Name
Sixth Volunteer's Name

First Name*

Middle Name

Last Name*
Sixth Volunteer's Date of Birth*
Sixth Volunteer's Group

Group Name
Seventh Volunteer's Name

First Name*

Middle Name

Last Name*
Seventh Volunteer's Date of Birth*
Seventh Volunteer's Group

Group Name
Eighth Volunteer's Name

First Name*

Middle Name

Last Name*
Eighth Volunteer's Date of Birth*
Eighth Volunteer's Group

Group Name
Ninth Volunteer's Name

First Name*

Middle Name

Last Name*
Ninth Volunteer's Date of Birth*
Ninth Volunteer's Group

Group Name
Tenth Volunteer's Name

First Name*

Middle Name

Last Name*
Tenth Volunteer's Date of Birth*
Tenth Volunteer's Group

Group Name
Volunteer's 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 or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Group

Group Name
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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