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Liability Release Form

I understand that my work with the community partner with whom I wish to participate will consist of contributing to projects within the local community, and that as part of the day, I may need to be transported to a service activity in a privately-owned vehicle.

I understand and recognize that there exists the possibility and risk of bodily injury to me or damage to my property while traveling to and from the community site, and while participating in the community partner site. I also understand that if at any time I feel that I am at risk, I have the right to refuse to participate and to inform the site leader or volunteer coordinator of my concerns, and I have the right to withdraw at any time for any reason or no reason at all from the program or the work with the particular community partner.

I understand and recognize the Policies and Terms & Conditions for the services provided by GivePulse.

By registering for this event, I agree to the terms as outlined in the on-line registration. I also agree that if the respective group and GivePulse tapes and/or takes photographs, video, print, case studies, reports or evaluations of this event and/or my presentation, I give permission for the use and public display now and in the future of such for charitable and educational purposes and waive and release any claim to personal ownership of such.

Therefore, for and in consideration of the respective group and GivePulse allowing me to participate in this opportunity, I hereby release, relieve, and hold harmless the respective group, GivePulse, its staff, board members, site leaders, drivers, and representatives from any liability or claim of liability, including liability for bodily injury or property damage arising out of or in connection with my participation in the event, including travel to, from, and around the location where I will be working during the program, except such liability or claim of liability as may result from gross negligence on the part of the respective group, GivePulse or local community coordinators.

By registering and accepting the online check input, I acknowledge that I have read this release of liability, the policies, terms and conditions, and am signing it voluntarily.