The Bag Project Volunteer Waiver Form

Thank you for volunteering with The Bag Project!

Please complete the waiver form below.
Select one:*
I am an adult volunteer
I am the parent or guardian of a minor (under 18) volunteer
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
RELEASE AND WAIVER OF LIABILITY [ADULT]*
I agree to the Release and Waiver of Liability
RELEASE AND WAIVER OF LIABILITY

Activities: As an adult individual named below, I voluntarily desire to provide services to embrella as a volunteer and engage in the activities as described to me for the embrella event for which I am attending. I also hereby freely, voluntarily, and without duress execute this RELEASE AND WAIVER OF LIABILITY under the terms below:

1. Release and Waiver: I hereby release and forever discharge and hold harmless embrella, its employees, volunteers, agents, owners, officers, and board of trustees, (formerly known as Foster and Adoptive Family Services or FAFS), from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the Volunteer Activities. I understand that this RELEASE AND WAIVER OF LIABILITY discharges embrella from any liability or claim that I may have against with respect to any bodily injury, personal injury, illness, death, or property damage that may result from the Volunteer Activities whether caused by the negligence of embrella or otherwise. I also understand that embrella 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. Insurance: I understand that embrella does not provide accident and injury insurance to volunteers injuring themselves while participating as a volunteer for embrella. I also understand I must rely on my own personal insurance resources.

3. Medical Treatment: I hereby release and forever discharge embrella 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 Activities.

4. Personal Property: I hereby release embrella from any loss or damage to my personal property. I understand that does not assume responsibility for my personal property nor will they reimburse me for any losses or damage to my personal property resulting from theft, fire, automobile accident or any other condition.

5. Driving Release: I understand that should I drive in service of embrella, I do so as an individual and not as a Volunteer of embrella. I hereby release embrella from any responsibility relating to damages to my personal vehicle and for any damages caused to me while operating my personal vehicle (which includes any and all personal property damages, medical insurance, and car insurance).

6. Photographic Release: I hereby grant and convey to embrella all rights, title, and interest in any and all photographic images and video or audio recordings made by embrella during the Volunteer Activities.

7. Other: I expressly agree that this RELEASE AND WAIVER OF LIABILITY is intended to be as broad and inclusive as permitted by the laws of New Jersey and that in the event that any clause or provision of this RELEASE AND WAIVER OF LIABILITY is held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions which shall continue to be enforceable.

By signing below and engaging in the Volunteer Activities I have read, understood, and executed this RELEASE AND WAIVER OF LIABILITY on the date entered below.
Number of Children or Youth I am the Parent or Guardian of attending the event:*
RELEASE AND WAIVER OF LIABILITY [YOUTH]*
I agree to the privacy policy.
RELEASE AND WAIVER OF LIABILITY

Activities: As the parent or guardian of the individual named below, I give permission for them to voluntarily provide services to embrella as a volunteer and engage in the activities as described to us for the embrella Event for which they are volunteering. I also hereby freely, voluntarily, and without duress execute this RELEASE AND WAIVER OF LIABILITY under the terms below:

1. Release and Waiver: I hereby release and forever discharge and hold harmless embrella, its employees, volunteers, agents, owners, officers, and board of trustees, (formerly known as Foster and Adoptive Family Services or FAFS), from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the Volunteer Activities. I understand that this RELEASE AND WAIVER OF LIABILITY discharges embrella from any liability or claim that I may have against with respect to any bodily injury, personal injury, illness, death, or property damage that may result from the Volunteer Activities whether caused by the negligence of embrella or otherwise. I also understand that embrella 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. Insurance: I understand that embrella does not provide accident and injury insurance to volunteers injuring themselves while participating as a volunteer for embrella. I also understand I must rely on my own personal insurance resources.

3. Medical Treatment: I hereby release and forever discharge embrella 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 Activities.

4. Personal Property: I hereby release embrella from any loss or damage to my personal property. I understand that does not assume responsibility for my personal property nor will they reimburse me for any losses or damage to my personal property resulting from theft, fire, automobile accident or any other condition.

5. Driving Release: I understand that should I drive in service of embrella, I do so as an individual and not as a Volunteer of embrella. I hereby release embrella from any responsibility relating to damages to my personal vehicle and for any damages caused to me while operating my personal vehicle (which includes any and all personal property damages, medical insurance, and car insurance).

6. Photographic Release: I give permission for the child, children, or youth I am the parent or guardian of to be photographed and/or recorded by embrella. And I hereby grant and convey to embrella all rights, title, and interest in any and all photographic images and video or audio recordings made by embrella during the Volunteer Activities.

7. Other: I expressly agree that this RELEASE AND WAIVER OF LIABILITY is intended to be as broad and inclusive as permitted by the laws of New Jersey and that in the event that any clause or provision of this RELEASE AND WAIVER OF LIABILITY is held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions which shall continue to be enforceable.

By signing below and engaging in the Volunteer Activities I have read, understood, and executed this RELEASE AND WAIVER OF LIABILITY on the date entered below.
Name*
First Last
Name*
First Last
Name*
First Last
Name*
First Last
Name*
First Last
Name*
First Last
Please list names of all additional minor (under 18) volunteers*
I give permission for the above named children or youth to be chaperoned by: (please enter the full name of adult responsible for them during the event).*
Signature*
Date*
MM slash DD slash YYYY
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If you have any questions, please contact Laura Nicholls, Outreach and Volunteer Manager,
lnicholls@embrella.org. or call 609-631-5525.
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