Waiver and Release Agreement

This Waiver and Release Agreement applies to volunteers at Allies for Health + Wellbeing and if they are a minor, their parents and guardians. Anyone volunteering in any role at Allies for Health + Wellbeing must be knowledgeable of and comply with all applicable state laws. As such, Allies wants to make sure every volunteer and their parents or guardians, if applicable, knows that they are responsible for knowing and complying with applicable state laws and regulations, and being physically and mentally prepared to volunteer for their identified role, and that the volunteer should not participate unless the volunteer and his/her parent(s) or guardian(s) if applicable, confirm that the volunteer is physically and mentally able to safely participate in the activity.

I, ____________________, acknowledge and agree that while volunteering with Allies for Health + Wellbeing, I am solely responsible for myself and my actions.  As such, I acknowledge and agree that I (a) am familiar and will comply with all applicable state laws and regulations (b) will strictly follow all directions from staff, and (c) will immediately inform the staff if I do not feel I can safely participate because of any physical or mental conditions.  

I hereby (A) to release Allies for Health + Wellbeing, as well its officers, directors, managers, employees, volunteers and agents (Collectively, the “the Agency Parties”), from any and all liability for death, disability, personal injury, property damage, or actions of any kind which may hereafter occur as a result of my participation in the Program; and (B) to indemnify and hold harmless the Agency Parties from any and all liabilities, claims, actions, suits, procedures, costs, damages, fines, penalties and expenses, including but not limited to reasonable investigation and attorney fees, which arise in connection with participation in the Program.

I have carefully read this Waiver and Release Agreement and understand its contents.  I acknowledge that this is a waiver and release of legal liability and that it is binding on behalf of myself and, if I am a minor, on my parents and/or guardians.  The undersigned acknowledge that they are signing the agreement freely and voluntarily.