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Macon County Habitat For Humanity, Inc.
56 West Palmer St., Franklin, NC 28734 |
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Release and Waiver of Liability for
Minors |
PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR
LEGAL RIGHTS!
This Release and Waiver of Liability (the "Release") executed on
this ___day of_____________,2O_,
by__________________________________________ , a minor child (the
"Volunteer"), and __________________________________, the parent
having legal custody and/or the legal guardian of the volunteer (the
"Guardian") in favor of Habitat for Humanity International, Inc., a
nonprofit corporation, and Habitat for Humanity of Macon County,
Inc., a North Carolina nonprofit corporation, their directors,
officers, employees, and agents (collectively, "Habitat").
The Volunteer and Guardian desire that the Volunteer work as a
volunteer for Habitat and engage in the activities related to being
a volunteer (the "Activities"). The Volunteer and the Guardian
understand that the Activities apply to and may include constructing
and rehabilitating residential buildings, working in the Habitat
offices, work sites, Re-Sale store and other event sites, and living
in housing provided for volunteers of Habitat.
The Volunteer and Guardian hereby freely, voluntarily, and without
duress execute this Release under the following terms:
Release and Waiver. Volunteer and Guardian, their heirs,
successors and assigns do hereby release and forever discharge and
hold harmless Habitat and its successors and assigns from any and
all liability, claims, and demands of whatever kind or nature,
either in law or in equity, which arise or may arise from
Volunteer's Activities with Habitat.
Volunteer and Guardian understand that this Release discharges
Habitat from any liability or claim that the Volunteer or Guardian
may have against Habitat with respect to any bodily injury, personal
injury, illness, death, or property damage that may result from
Volunteer's Activities with Habitat, whether caused by the
negligence of Habitat or its officers, directors, employees, or
agents or otherwise. Volunteer and Guardian also understand that
Habitat 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.
It is the policy of Habitat that children under the age of 14 not be
allowed on a Habitat worksite while there is construction in
progress. It is further the policy of Habitat that, while children
between the ages of 16 and 18 may be allowed to participate in
construction work. Ultra hazardous activity such as using power
tools, excavation, demolition or working on rooftops is not
permitted by anyone under the age of 18.
Medical Treatment. Volunteer and Guardian doe hereby release
and forever discharge Habitat 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's Activities with
Habitat or with the decision by any representative or agent of
Habitat to exercise the power to consent to medical or dental
treatment as such power may be granted and authorized in the
Parental Authorization for Treatment of a Minor Child.
Assumption of Risk. The Volunteer and Guardian understand
that the Activities include work that may be hazardous to the
Volunteer, including, but not limited to, construction, loading and
unloading, and transportation to and from work sites and event
sites.
Volunteer and Guardian hereby expressly and specifically assume the
risk of injury or harm in the Activities and releases Habitat from
all liability for injury, illness, death, or property damage
resulting from the Activities.
Insurance. The Volunteer and Guardian understand that, except
as otherwise agreed to by Habitat in writing, Habitat does not carry
or maintain health, medical, or disability insurance coverage for
any Volunteer.
Each Volunteer is expected and encouraged to obtain
his or her own medical or health insurance coverage.
Photographic Release. Volunteer and Guardian doe hereby grant
and convey unto Habitat all right, title, and interest in any and
all photographic images and video or audio recordings made by
Habitat during the Volunteer's Activities with Habitat, including,
but not limited to, any royalties, proceeds, or other benefits
derived from such photographs or recordings.
Other. Volunteer and Guardian expressly agree that this
Release is intended to be as broad and inclusive as permitted by the
laws of the State of North Carolina and that this Release shall be
governed by and interpreted in accordance with the laws of the State
of North Carolina. Volunteer and Guardian agree that in the event
that any clause or provision of this Release shall be held invalid
by any court of competent jurisdiction, the invalidity of such
clause or provision shall not otherwise affect the remaining
provisions of this Release which shall continue to be enforceable.
IN WITNESS WHEREOF, Volunteer and Guardian have executed this
Release as of the day and year first above written.
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WITNESS:_____________________VOLUNTEER:____________________________
WITNESS:_____________________ PARENT/GUARDIAN:_____________________
WITNESS:_____________________ PARENT/GUARDIAN:_____________________
ADDRESS:________________________________________
CITY:_______________________, STATE:______, ZIP:________
PHONE (H):____________________________
(W)_______________________________ |
6/26/05 4:47:49 PM
MACON COUNTY HABITAT FOR HUMANITY |
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Construction
Activities | Re-Sale
Store Activities | Volunteer
Application |
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Standard
Waiver of Liability | Minor
Waiver of Liability |
Parental Treatment Authorization |
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© Copyright 2005. Macon
County Habitat For Humanity, Inc.
All rights reserved.
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