Scroll to see more shifts & complete your submission at the bottom of the page.Click here to scroll down.
Disclaimer
WAIVER AND RELEASE OF LIABILITY
I understand that on account of my participation as a volunteer for Epiphany Community Health Outreach Services ("ECHOS"), I may be exposed to some foreseen and unforeseen risks. I knowingly accept such risks and, fully understanding such risks, nonetheless wish to participate as a volunteer for ECHOS.
Therefore, on my own behalf and on behalf of my heirs, representatives, administrators and assigns, and to the extent permitted by law, I hereby forever waive, discharge and release any and all liability, claims, demands, causes of action, suits and rights of whatever kind or nature, either in law or in equity, I, or anyone else on my behalf, might have against ECHOS or its officers, directors, agents, representatives, employees, volunteers, successors and assigns (collectively, the "ECHOS Affiliated Persons"). Further, I agree that I will not, nor will I allow anyone else acting on my behalf to, bring or maintain any lawsuit or other action against ECHOS or any ECHOS Affiliated Person for any claim that I might have arisen out of my participation in any activities sponsored by, sanctioned by or approved by ECHOS or any ECHOS Affiliated Person.
For the purpose of implementing a full and complete release, I understand and agree that this waiver is intended to include all claims if any, which I may have and which I do not now know or suspect to exist in my favor against ECHOS and this waiver extinguishes those claims.
I understand and acknowledge that this Waiver and Release of Liability discharges ECHOS and any ECHOS Affiliated Person from any liability or claim that I may have against ECHOS or any ECHOS Affiliated Person with respect to any bodily injury, illness, death, or property damage that may result from my participation as a volunteer for ECHOS, whether or not caused by the negligence, gross negligence, or intentional conduct of ECHOS or any ECHOS Affiliated Person. I also understand that, except as otherwise agreed to by ECHOS in writing, neither ECHOS nor any ECHOS Affiliated Person is responsible for or obligated to provide financial assistance to me or to anyone else, including but not limited to medical, health, or disability insurance, in the event of injury or illness. I hereby warrant that I am of full age and have the right to contract my own name.
I have read the above Waiver and Release of Liability prior to its execution, and I voluntarily bind myself to these terms.
WAIVER AND RELEASE OF LIABILITY
I understand that on account of my participation as a volunteer for Epiphany Community Health Outreach Services ("ECHOS"), I may be exposed to some foreseen and unforeseen risks. I knowingly accept such risks and, fully understanding such risks, nonetheless wish to participate as a volunteer for ECHOS.
Therefore, on my own behalf and on behalf of my heirs, representatives, administrators and assigns, and to the extent permitted by law, I hereby forever waive, discharge and release any and all liability, claims, demands, causes of action, suits and rights of whatever kind or nature, either in law or in equity, I, or anyone else on my behalf, might have against ECHOS or its officers, directors, agents, representatives, employees, volunteers, successors and assigns (collectively, the "ECHOS Affiliated Persons"). Further, I agree that I will not, nor will I allow anyone else acting on my behalf to, bring or maintain any lawsuit or other action against ECHOS or any ECHOS Affiliated Person for any claim that I might have arisen out of my participation in any activities sponsored by, sanctioned by or approved by ECHOS or any ECHOS Affiliated Person.
For the purpose of implementing a full and complete release, I understand and agree that this waiver is intended to include all claims if any, which I may have and which I do not now know or suspect to exist in my favor against ECHOS and this waiver extinguishes those claims.
I understand and acknowledge that this Waiver and Release of Liability discharges ECHOS and any ECHOS Affiliated Person from any liability or claim that I may have against ECHOS or any ECHOS Affiliated Person with respect to any bodily injury, illness, death, or property damage that may result from my participation as a volunteer for ECHOS, whether or not caused by the negligence, gross negligence, or intentional conduct of ECHOS or any ECHOS Affiliated Person. I also understand that, except as otherwise agreed to by ECHOS in writing, neither ECHOS nor any ECHOS Affiliated Person is responsible for or obligated to provide financial assistance to me or to anyone else, including but not limited to medical, health, or disability insurance, in the event of injury or illness. I hereby warrant that I am of full age and have the right to contract my own name.
I have read the above Waiver and Release of Liability prior to its execution, and I voluntarily bind myself to these terms.
WAIVER AND RELEASE OF LIABILITY
I understand that on account of my child's participation as a volunteer for Epiphany Community Health Outreach Services ("ECHOS"), they may be exposed to some foreseen and unforeseen risks. I knowingly accept such risks and, fully understanding such risks, nonetheless wish to participate as a volunteer for ECHOS.
Therefore, on my own behalf and on behalf of my heirs, representatives, administrators and assigns, and to the extent permitted by law, I hereby forever waive, discharge and release any and all liability, claims, demands, causes of action, suits and rights of whatever kind or nature, either in law or in equity, my child, or anyone else on their behalf, might have against ECHOS or its officers, directors, agents, representatives, employees, volunteers, successors and assigns (collectively, the "ECHOS Affiliated Persons"). Further, I agree that I will not, nor will I allow anyone else acting on my child's behalf to, bring or maintain any lawsuit or other action against ECHOS or any ECHOS Affiliated Person for any claim that might have arisen out of my child's participation in any activities sponsored by, sanctioned by or approved by ECHOS or any ECHOS Affiliated Person.
For the purpose of implementing a full and complete release, I understand and agree that this waiver is intended to include all claims if any, which I may have on behalf of my child and which I do not now know or suspect to exist in my favor against ECHOS and this waiver extinguishes those claims.
I understand and acknowledge that this Waiver and Release of Liability discharges ECHOS and any ECHOS Affiliated Person from any liability or claim that I may have against ECHOS or any ECHOS Affiliated Person with respect to any bodily injury, illness, death, or property damage that may result from my child's participation as a volunteer for ECHOS, whether or not caused by the negligence, gross negligence, or intentional conduct of ECHOS or any ECHOS Affiliated Person. I also understand that, except as otherwise agreed to by ECHOS in writing, neither ECHOS nor any ECHOS Affiliated Person is responsible for or obligated to provide financial assistance to me or to anyone else, including but not limited to medical, health, or disability insurance, in the event of injury or illness. I hereby warrant that I am of full age and have the right to contract on behalf of my child.
I have read the above Waiver and Release of Liability prior to its execution, and I voluntarily bind my child to these terms.
Signature of parent or guardian
