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Volunteer waiver for Kindness & Compassion Initiative.

WAIVER AND RELEASE OF LIABILITY AGREEMENT

I, _________________________, intend to volunteer some of my time in connection with the DreamCatchers Kindness and Compassion Initiative. I may work directly with seniors, facilities and organizations serving the elderly and their staff as well as other volunteers. I understand this may involve some risks to me, such as possible injury, and I accept those risks in order to participate as a volunteer.

I also agree to the following terms as they relate to my volunteer participation:

  1. I agree to keep all patient and personal contact information shared with me throughout this process confidential and will not share it with anyone.
  2. I will not accept compensation from any participant in the Initiative and understand that I will be referred for criminal investigation and prosecution if suspected or found to be engaging in any form of criminal conduct, including attempts to defraud any participant in the Initiative. 
  3. I authorize DreamCatchers Foundation to run a full background check on me and will provide appropriate information to facilitate such a report when requested.
  4. I will not use any information gathered or learned from my volunteer activities for any purpose other than advancing the goals outlined in the DreamCatchers Kindness & Compassion Initiative.
  5. In volunteering, I understand there may be possible risks and dangers to me and no promises or guarantees of any kind have been made to me by DreamCatchers in order to solicit my participation as a volunteer.
  6. I understand that I am not in any way employed by or associated with DreamCatchers Foundation through this Initiative, but rather they are facilitating my connection to the organization, senior or facility where I will volunteer.
  7. I agree to indemnify and hold DreamCatchers Foundation harmless from any injury arising from my participation as a volunteer, whether the injury is caused by DreamCatchers’ own negligence or otherwise.
  8. Further, I hereby release and forever discharge DreamCatchers of and from all liability, claims, actions, and possible causes of action whatsoever that may accrue to me or to my heirs from every loss, damage and injury, including death that may be sustained by my person and property arising out of or connected with my participation and continued involvement in volunteering.
  9. This Waiver and Release shall be governed by the laws of Arizona, and any litigation related to the enforceability of this document will be brought in the State of Arizona.
  10. The terms of this document are binding on the one signing the document, members of his or her family, and his or her spouse, heirs, assigns and personal representatives.
  11. I grant DreamCatchers Foundation permission to use my photos, likeness and name in DreamCatchers publicity ( print, social media, brochures, video, etc.) for the Kindness & Compassion Initiative.

I HAVE FULLY READ THE FOREGOING "WAIVER AND RELEASE OF LIABILITY". I FULLY UNDERSTAND ITS CONTENTS. I AM VOLUNTARILY SIGNING THIS DOCUMENT.

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First Volunteer Name

First Name*

Last Name*

Phone*
First Volunteer Date of Birth*
First Volunteer Signature*
Parent or Guardian's Email Address

Email
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A signed copy of this waiver will be sent to the email address you provide.
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 Date of Birth*
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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