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Release and Waiver of Liability for Minors

It is the policy of Habitat for Humanity that children under the age of 16 not be allowed on a Habitat worksite while there is construction in progress.  It is further the policy of Habitat that, while children between the ages of 16 and 18 may be allowed to participate in construction work, ultra hazardous activity such as using power tools, excavation, demolition or working on rooftops is not permitted by anyone under the age of 18.

 

PLEASE READ CAREFULLY!
THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!

This Release and Waiver of Liability (the “Release”) is executed on this day of December 2, 2021, by the undersigned, a minor child (the “volunteer”), and the parents having legal custody and/or the legal guardians of the volunteer (the “Guardians”), in favor of Habitat for Humanity International, Inc., a nonprofit corporation, and Habitat for Humanity of Alamance County, N. C., Inc., a North Carolina nonprofit corporation, their directors, officers, employees, and agents (collectively, “Habitat and Partners”).  (Note that any additional parent or guardian should sign the Release).

The Volunteer and Guardians desire that the Volunteer work as a volunteer for Habitat and Partners and engage in the activities related to being a volunteer (the "Activities").  The Volunteer and the Guardians understand that the Activities may include the following: constructing, rehabilitating, and/or maintaining residential buildings and grounds; working in the Habitat offices and ReStore; living in housing provided for volunteers of Habitat; and limited travel to and from sites as necessary.

The Volunteer and Guardians do hereby freely, voluntarily, and without duress execute this Release under the following terms:

Release and Waiver.  Volunteer and Guardians do hereby release and forever discharge and hold harmless Habitat 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 Volunteer’s Activities with Habitat and Partners.

Volunteer and Guardians understand that this Release discharges Habitat and Partners from any liability or claim that the Volunteer or Guardians may have against Habitat and Partners with respect to any bodily injury, personal injury, illness, death, or property damage that may result from Volunteer’s Activities with Habitat and Partners, whether caused by the negligence of Habitat and Partners or their officers, directors, employees, or agents or otherwise.  Volunteer and Guardians also understand that Habitat and 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.  Volunteer and Guardians do hereby release and forever discharge Habitat and 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 Volunteer’s Activities with Habitat and Partners or with the decision by any representative or agent of Habitat and Partners to exercise the power to consent to medical or dental treatment as such power may be granted and authorized in a Parental Authorization for Treatment of a Minor Child.

Assumption of the Risk.  The Volunteer and Guardians understand that the Activities may include work that may be hazardous to the Volunteer, including, but not limited to, construction, loading and unloading, and transportation to and from the work sites. 

Volunteer and Guardians hereby expressly and specifically assume the risk of injury or harm in the Activities and release Habitat and Partners from all liability for injury, illness, death, or property damage resulting from the Activities.

Insurance.  The Volunteer and Guardians understand that, except as otherwise agreed to in writing, Habitat and Partners do not carry or maintain health, medical, or disability insurance coverage for any Volunteer.

Each Volunteer is expected and encouraged to obtain his or her own medical or health insurance coverage.

Photographic Release.  Volunteer and Guardians do hereby grant and convey unto Habitat and Partners all right, title, and interest in any and all photographic images and video or audio recordings made by Habitat and Partners during the Volunteer’s Activities with Habitat and Partners, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.

Other.  Volunteer and Guardians expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of North Carolina, and that this Release shall be governed by and interpreted in accordance with the laws of the State of North Carolina.  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 of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.

First Volunteer's Name

First Name*

Middle Name

Last Name*
First Volunteer's Date of Birth*
First Volunteer's Information

Phone (H): *

Phone (W): *

Phone (Mobile): *
First Volunteer's Signature*
Second Volunteer's Name

First Name*

Middle Name

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

Phone (H): *

Phone (W): *

Phone (Mobile): *
Second Volunteer's Signature*
Third Volunteer's Name

First Name*

Middle Name

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

Phone (H): *

Phone (W): *

Phone (Mobile): *
Third Volunteer's Signature*
Fourth Volunteer's Name

First Name*

Middle Name

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

Phone (H): *

Phone (W): *

Phone (Mobile): *
Fourth Volunteer's Signature*
Fifth Volunteer's Name

First Name*

Middle Name

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

Phone (H): *

Phone (W): *

Phone (Mobile): *
Fifth Volunteer's Signature*
Sixth Volunteer's Name

First Name*

Middle Name

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

Phone (H): *

Phone (W): *

Phone (Mobile): *
Sixth Volunteer's Signature*
Seventh Volunteer's Name

First Name*

Middle Name

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

Phone (H): *

Phone (W): *

Phone (Mobile): *
Seventh Volunteer's Signature*
Eighth Volunteer's Name

First Name*

Middle Name

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

Phone (H): *

Phone (W): *

Phone (Mobile): *
Eighth Volunteer's Signature*
Ninth Volunteer's Name

First Name*

Middle Name

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

Phone (H): *

Phone (W): *

Phone (Mobile): *
Ninth Volunteer's Signature*
Tenth Volunteer's Name

First Name*

Middle Name

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

Phone (H): *

Phone (W): *

Phone (Mobile): *
Tenth 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*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Confirming you meet our minor age requirement:
Are you at least 16 years of age?*
No
Yes
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*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Phone (H): *

Phone (W): *

Phone (Mobile): *
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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