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This waiver is for Community Development Projects, dba Project Mercy, for volunteers traveling to help on home builds.

For more information visit our website at ProjectMercyBaja.org

VOLUNTEER INFORMATION AND RELEASE 
COMMUNITY DEVELOPMENT PROJECTS DBA PROJECT MERCY

Thank you for choosing to volunteer with Project Mercy.
Completion of this form is required for all volunteers working Project Mercy activities.
Thank you again for your interest and willingness to help our southern neighbors in need! 

ASSUMPTION OF RISK, RELEASE, AND WAIVER

This Assumption of Risk, Release, and Waiver (the “Release”) is executed by Volunteer (and, if a minor, by Volunteer’s Parent or Guardian on his or her behalf) in favor of Community Development Projects, Inc., dba “Project Mercy” (“Project Mercy”). Volunteer desires to work as a volunteer for Project Mercy in Mexico and/or the USA and agrees to the following:

1. Waiver and Release. Volunteer releases, discharges, and holds harmless Project Mercy from and against any liabilities, claims and demands of whatever kind or nature (including bodily injury, illness, property damage, and death) (“Claims”) which arise from Volunteer’s work for Project Mercy, even if caused by the negligence or fault of Project Mercy.

2. Medical Treatment. Volunteer authorizes medical treatment and releases, discharges, and holds harmless Project Mercy from and against any Claims which arise from first aid, medical treatment, or service rendered in connection therewith. Volunteer understands that Project Mercy Baja does not assume any responsibility for, or obligation to provide, medical, financial or other assistance in the event of bodily injury, illness, property damage or death.

3. Assumption of the Risk. Volunteer understands that work for Project Mercy may include hazardous activities, including without limitation risks inherent in construction, strenuous physical activity, travel, and travel to a foreign country. Volunteer assumes the risk of injury or harm in these activities and releases, discharges, and holds harmless Project Mercy from and against any Claims arising from Volunteer’s work for Project Mercy.

4. No Insurance. Project Mercy does not carry or maintain health, medical or disability insurance coverage for Volunteer.

5. Photographic Release. Volunteer grants Project Mercy all right to and title in any photographic images, video or audio recordings made by Project Mercy during the Volunteer's activities with Project Mercy, including any proceeds or other benefits derived.

6. Other. This Release is intended to be as broad as permitted by the laws of the State of California and shall be governed by the laws of the State of California. If any clause or provision of the Release is held to be invalid, that shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable to the maximum degree allowed by the law. The benefits of this Release extends to the employees, agents, officers, board members, successors, and assigns of Project Mercy.

7. Waiver of California Civil Code Section 1542. Volunteer waives the provisions of California Civil Code Section 1542, which provides: “A general release does not extend to claims which the creditor does not know or suspect to exist in his or her favor at the time of executing the release, which if known by him or her must have materially affected his or her settlement with the debtor.”

8. Continuing Applicability. This Release applies to all activities of Volunteer as a volunteer for Project Mercy whether on this date or at any time in the future.

I have read this Release, understand its contents, and agree to its terms and conditions.

Please select who will be participating...
AdultMinor
Continue
First Volunteer's Name

First Name*

Last Name*

Phone*
First Volunteer's Date of Birth*
I certify that I am 18 years of age or older
First Volunteer's Email and Group

Email *

What group will you be building with? (Example: Encinitas Rotary Club, International Relief Teams, Unknown, etc) *
First Volunteer's Signature*
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
Check to receive information, news, and other communications from Project Mercy
A signed copy of this waiver will be sent to the email address you provide.
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*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Email and Group

Email *

What group will you be building with? (Example: Encinitas Rotary Club, International Relief Teams, Unknown, etc) *
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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