This Release and Waiver of Liability (the “Release”) executed on this day by (the “Volunteer”) as
named above, and the (“Guardian” for 17u minor volunteer only), also named above, having legal
custody and/or the legal guardian of the volunteer, is in favor of Habitat for Humanity
International, Inc., a nonprofit corporation, and Maumee Valley Habitat for Humanity, a nonprofit
corporation, and each of their directors, officers, trustees, employees, sponsors, donors,
volunteers and agents (collectively, the "Released Parties").
I, the Volunteer desire to work as a Volunteer for one or more of the Released Parties without
compensation and engage in the activities related to being a volunteer. The Volunteer/Guardian
understands that the Activities may include but are not limited to the following: working at
Habitat for Humanity offices and worksites; working on or for Habitat for Humanity ReStore
operations; loading and unloading materials; constructing, repairing and rehabilitating residential
buildings; other
construction-related activities; and other volunteer activities ("Activities"). In addition, the
Activities may include work that is credited to the Volunteer’s sweat equity requirements as a
partner family.
The Volunteer and/or Guardian freely, voluntarily, and without duress executes this Release under
the following terms:
I, the Volunteer, understand that my Activities may include work that may be hazardous to me,
including, but not limited to, exposure to lead, asbestos and mold, which may cause or worsen
certain illnesses, especially if I do not wear protective equipment, am exposed for extended
periods of time, or have a pre-existing immune system deficiency.
Release and Waiver. I, the Volunteer and/or Guardian, acknowledge and understand that participation
in the Activities may involve certain risks, including, but not limited to, personal injury (ies),
bodily injury, illness, permanent disability, property damage, loss and/ or death (“Risks”). These
Risks include, but are not limited to, exposure to and/or infection with COVID-19 and/or other
viruses and/or bacterial infection even in ideal conditions, and despite any and all reasonable
efforts made to mitigate such Risks. I further acknowledge and agree that, due to the nature of the
Activities, social distancing of six feet per person will not always be possible and that my
participation in the Activities may result in an elevated risk of contracting COVID-19 and/or other
viruses and/or bacterial infection. I further agree to follow all safety precautions outlined by
any Released Party while volunteering.
In consideration of and in order to be allowed to participate in the Activities, I do hereby
release and forever discharge and hold harmless the Released Parties and their successors and
assigns from any and all liability, claims, demands, costs and damages of any kind, whether arising
from tort, contract or otherwise, which I or my heirs, assigns, next of kin or legal
representatives may have or which may hereinafter accrue, arise from, or are in any way related to
my Activities with any of the Released Parties, including but not limited to Risks, whether caused
wholly or in part by the simple negligence, fault or other misconduct of any of the Released
Parties or of other volunteers, other than their intentional or grossly negligent conduct. In
addition, the Released Parties shall have the benefit of any future liability protection for
businesses as relating to the COVID-19 pandemic passed by any governmental entity to which the
Released Parties are subject.
Assumption of the Risk. I understand and acknowledge that by signing this Release I knowingly
assume the Risks associated with the Activities. I also understand that the Released Parties 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,
illness, death or property damage. Regarding any illness or virus, including COVID-19, I, the
Volunteer, understand that even if I follow all guidelines for the prevention and handling of any
illness or virus, including COVID-19, there is still a risk that Volunteer could contract such
virus or illness.
I understand and acknowledge that children under the age of 16 are not allowed on Habitat for
Humanity worksites while construction is in progress. While minors between the ages of 16 and 18
may be allowed to participate in some types of build site activities, solely as outlined by the
Released Parties, I understand that using power tools, excavation, demolition, working on rooftops
and similar activities are not permitted for anyone under the age of 18. I agree it is my
responsibility to communicate these requirements to any of my minor children who will attend and/or
participate in the Activities.
Consent to Transportation Medical Treatment and Release. I consent to the use of first aid
treatment and the use of generic and over-the-counter medications and treatments as directed by
manufacturer labels, whether administered by the Released Parties or first aid personnel. In an
emergency, I understand the Released Parties may try to contact the individual listed below as an
emergency contact. If an emergency contact cannot be reached promptly, I hereby authorize the
Released Parties to act as an agent for me to consent to any examination, testing, x-rays, medical,
dental or surgical treatment for me as advised by a physician, dentist or other health care
provider. This includes, but is not limited to, my assessment, evaluation, medical care and
treatment, anesthesia, hospitalization, or other health care treatment or procedure as advised by a
physician, dentist or other health care provider. I also authorize the Released Parties to arrange
for transportation of me as deemed necessary and appropriate in their discretion.
< Keep for your records >
If the Volunteer is less than 18 years of age, the parent(s) having legal custody and/or the legal
guardian(s) of the Volunteer also hereby release, forever discharge and hold harmless the Released
Parties from any liability, claim, demand and action whatsoever brought by such volunteer or on
his/her behalf which arises or may hereafter arise on account of the decision by any representative
or agent of the Released Parties to exercise the power to transport, administer first aid, and
consent to assessment, examination, x- rays, medical, dental, surgical or other such health care
treatment as set forth in the Parental Authorization for Treatment of, and Travel With, a Minor
Child.
Insurance. I understand that, except as otherwise agreed to by the Released Parties in writing, the
Released Parties are under no obligation to provide, carry or maintain health, medical, travel,
disability or other insurance coverage for any Volunteer.
Each Volunteer is expected and encouraged to obtain his or her own health, medical, travel,
disability or other insurance coverage.
I understand that I am and remain responsible for payment of such hospital, physician, ambulance,
dental, medical or other services obtained for me or my child. I agree that the Released Parties do
not assume any responsibility for the payment of such fees or expenses which may be incurred. If I
have health insurance, I understand my personal health insurance is my primary coverage.
Confidentiality. I agree that in the course of my participation in the Activities, I may have
access to personal and/or health care information of other persons. I agree to maintain the
confidentiality of such information, to use such information only as necessary to do my job as a
volunteer, and to comply with Habitat for applicable policies regarding such information.
Photographic/Recording Release. I hereby grant and convey unto the Released Parties all right,
title and interest in any and all photographs and video/audio/electronic recordings of me,
including as to my name, image and voice, made by or on behalf of any of the Released Parties
during my Activities with the Released Parties, including, but not limited to, the right to use
such materials for any purpose and to any royalties, proceeds or other benefits derived from them.
I understand that I will not have any ownership interest in or to such photographs, images and/or
recordings, I have not been provided or promised any compensation to me, and I hereby waive any
rights, privileges or claims based on any right of publicity, privacy, ownership or any other
rights arising, relating to or resulting from the photographs, images and/or recordings. I
understand and agree that this paragraph also applies to my minor child(ren) who are volunteering.
Authorization to conduct criminal background and sex offender registry check: As applicable, the
Volunteer and/or Guardian acknowledges that the Volunteer is seeking to become or continue as a
volunteer with Habitat. Volunteer and/or Guardian acknowledges that Habitat has a legitimate
business need to obtain the Volunteer’s consumer report, including to protect the safety and
security of the premises in which volunteer services may be rendered, to ensure the safety of
vulnerable populations, including but not limited to, children, the elderly, and the indigent, and
to protect the reputation of Habitat and the quality of services it provides.
This Authorization is valid for current and future reports, and the Volunteer and/or Guardian
specifically understands that Habitat intends for this Authorization to cover both the Volunteer’s
anticipated engagement as a volunteer and any additional consumer reports obtained throughout the
duration of the Volunteer’s engagement.
Other. I expressly agree that this Release is intended to be as broad and inclusive as permitted by
state law. I further agree that in the event any clause or provision of this Release is held
invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall
not otherwise affect the remaining clauses or provisions of this Release, which shall continue to
be enforceable. Further, a waiver of a right under this Release by a Released Party does not
prevent the exercise of any other right.
I have carefully considered my decision, the benefits and risks involved, and hereby give my
informed consent to participate in all volunteer Activities. I have read and understand this
Release and Waiver of Liability, I acknowledge that any questions of mine have been answered, and I
voluntarily agree to the above provisions. It is my intent to bind my heirs, next of kin, assigns
and legal
representative.
