Name
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First Name
Last Name
Address
Address 1
Address 2
City
State/Province
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Phone
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Email
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T-SHIRT SIZE
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Preferred Volunteer Role (check all that apply):
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Availability for Event:
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Emergency Contact Name
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First Name
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Emergency Contact Phone
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Liability Waiver and Release of Liability for Volunteers
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This Liability Waiver and Release of Liability (the “Agreement”) is made by the undersigned volunteer (the “Volunteer”) in favor of High 5 Birmingham Oddesty K & Associates, its partners, sponsors, agents, officers, employees, and all other persons or entities involved in the event Saddle Up for Autism: A Day of Connection (hereinafter collectively referred to as the "Releasees").
1. Acknowledgment of Risks:
The Volunteer acknowledges that volunteering at Saddle Up for Autism: A Day of Connection may involve various activities, including but not limited to, working with horses, facilitating craft and sensory stations, assisting children and individuals with special needs, and manual tasks such as event setup and breakdown. These activities involve inherent risks, including, but not limited to, injury or accident. The Volunteer voluntarily accepts these risks and agrees to participate in the event.
2. Release of Liability:
To the fullest extent permitted by law, the Volunteer, on behalf of themselves, their heirs, executors, administrators, and assigns, hereby releases and holds harmless the Releasees from any and all claims, demands, actions, suits, or liabilities of any nature, including those arising from negligence, that may occur as a result of participating in the event. This release includes any personal injury, illness, death, or property damage that may result from volunteering.
3. Indemnification:
The Volunteer agrees to indemnify, defend, and hold harmless the Releasees from any and all claims, damages, losses, and expenses, including attorney’s fees, arising from or related to the Volunteer’s actions, omissions, or participation in the event.
4. Insurance:
The Volunteer acknowledges that they are not covered by insurance provided by High 5 Birmingham Oddesty K & Associates for any injuries or damages incurred during the event. The Volunteer is responsible for their own personal health and accident insurance during the event.
5. Consent to Media Release:
The Volunteer grants High 5 Birmingham Oddesty K & Associates permission to use photographs, videos, or other media taken during the event for promotional and educational purposes without compensation or further approval.
6. Voluntary Participation:
The Volunteer acknowledges that their participation in the event is voluntary, and they agree to abide by all instructions, rules, and regulations set by High 5 Birmingham Oddesty K & Associates and its partners during the event.
7. Acknowledgment:
By checking the box below, I acknowledge that this waiver is binding. I understand and agree to all the terms outlined in this waiver.
Waiver Acceptance:
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Electronic Signature Acknowledgment:
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By typing my name below, I acknowledge that this waiver is binding, and my electronic signature is the equivalent of a wet signature. I understand and agree to all the terms outlined in this waiver. I voluntarily agree to participate in the event and release High 5 Birmingham Oddesty K & Associates and all associated parties from liability.
First Name
Last Name
