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Volunteer Waiver * I attest that my signature below grants that I have read, understood, and agree to all parts of this document in full. I understand that my signature below releases the non-profit organization Guardian Hills Veterans Healing Center (GHVHC) from any liability for any injuries, health related issues, or other work-related problems. I am volunteering of my own volition and will not hold GHVHC accountable for any damages I might incur while participating. I realize I will be my own judge and act in accordance on my own behalf and not engage in activities I do not feel able to perform based on my medical conditions/history, or any other reason that I feel compelled to not participate in said activity.

Furthermore, I understand and consent to GHVHC conducting on me a background check through the Missouri Automated Criminal History Site (MACHS) prior to volunteering.

Media Consent: I acknowledge that my signature below means that I have read, understand, and agree to allow GHVHC to videotape, photograph, or record my image, voice, or both either before, during, or after any GHVHC sponsored event, workshop, or affiliated activity to be used for, but not limited to, the purposes of public relations, fundraising, advertising, education, and community outreach. I further understand that I waive all claim(s) to recompense for damages from GHVHC or affiliates for the use of my image, voice, or both being reproduced for the purposes stated above by GHVHC or affiliates.

First Full Legal Name
First Name*
Middle Name
Last Name*
Phone*
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First Full Legal Date of Birth*
Date of Birth
First Full Legal Information
Email Address *
First Full Legal Signature*
Second Full Legal Name
First Name*
Middle Name
Last Name*
Full Legal Date of Birth*
Date of Birth
Second Full Legal Information
Email Address *
Third Full Legal Name
First Name*
Middle Name
Last Name*
Full Legal Date of Birth*
Date of Birth
Third Full Legal Information
Email Address *
Fourth Full Legal Name
First Name*
Middle Name
Last Name*
Full Legal Date of Birth*
Date of Birth
Fourth Full Legal Information
Email Address *
Fifth Full Legal Name
First Name*
Middle Name
Last Name*
Full Legal Date of Birth*
Date of Birth
Fifth Full Legal Information
Email Address *
Sixth Full Legal Name
First Name*
Middle Name
Last Name*
Full Legal Date of Birth*
Date of Birth
Sixth Full Legal Information
Email Address *
Seventh Full Legal Name
First Name*
Middle Name
Last Name*
Full Legal Date of Birth*
Date of Birth
Seventh Full Legal Information
Email Address *
Eighth Full Legal Name
First Name*
Middle Name
Last Name*
Full Legal Date of Birth*
Date of Birth
Eighth Full Legal Information
Email Address *
Ninth Full Legal Name
First Name*
Middle Name
Last Name*
Full Legal Date of Birth*
Date of Birth
Ninth Full Legal Information
Email Address *
Tenth Full Legal Name
First Name*
Middle Name
Last Name*
Full Legal Date of Birth*
Date of Birth
Tenth Full Legal Information
Email Address *
Parent or Guardian's Email Address
Email*
Confirm Email*
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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*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Information
Email Address *
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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