Volunteer Waiver Form

Thank you so much for serving families in the helloHOPE community! We are grateful for your support and ask that you fill out this form for each individual serving.

WAIVER AND RELEASE AGREEMENT

helloHOPE, Inc., a nonprofit corporation in the state of Georgia (“helloHOPE”), is providing the opportunity selected in the form below (the “Activity”). This event will be held on the date selected below.

The undersigned and/or the individual’s legal guardian (collectively, “Participant”) desires to participate, and hereby agrees to the following:

Voluntary Assumption of Risks. Participant has voluntarily decided to participate in and to assume all expenses and risks associated with the Activity. Participant’s participation in this Activity is not required. Participant acknowledges that participation in the Activity may involve risks, including but not limited to, travel hazards, unforeseen conditions, terrorist attacks, acts of God, or other risks. Participant has considered these risks, and relying on his/her own judgment, has voluntarily agreed to assume these dangers and risks.

Waiver of Claims. Participant, individually, and for his/her spouse, family, heirs, personal representatives, and assigns, hereby waives, releases, forever discharges, and covenants not to sue helloHOPE, its directors, agents, employees, volunteers, and assigns, for any and all claims arising out of or related to his/her participation in this activity that he/she may have, now or in the future, including claims arising from injuries to persons or property arising out of or incident to Participant’s participation in this activity, including claims arising out of injuries received as a result of others in the group, and claims arising out of lodging, travel, transportation, or ownership, operation, use, maintenance or control of any vehicle, equipment, or goods provided or used in connection with this activity, regardless of whether the claims arise, in whole or in part, from negligence on the part of any director, agent, employee, volunteer, or assign of helloHOPE.

Release and Indemnity. To the maximum extent permitted by law, Participant agrees to hold harmless, indemnify, and defend helloHOPE, its directors, agents, employees, volunteers, and assigns from and against any and all claims, demands, or lawsuits for property damage, personal injury or death, including costs of suit and attorneys’ fees, arising out of Participant’s participation in the Activity, REGARDLESS OF WHETHER SUCH DAMAGES, INJURY OR DEATH ARE CAUSED BY PARTICIPANT’S NEGLIGENCE OR BY THE NEGLIGENCE OF HELLOHOPE, ITS DIRECTORS, AGENTS, EMPLOYEES, VOLUNTEERS, OR ASSIGNS. Participant intends for this release and indemnity to bind the members of the Participant’s family and spouse, if Participant is alive; and Participant’s spouse, family, estate, heirs, administrators, personal representatives, or assigns if Participant is deceased.

Representations of Participant. By signing this Agreement, Participant represents and warrants: 1) that he/she has carefully read this Agreement; 2) that he/she understands that this Agreement represents Participant’s complete understanding with helloHOPE concerning their responsibility and liability for Participant’s participation in the Activity and supersedes any previous or contemporaneous understandings Participant may have had with helloHOPE or its agents on this subject; 3) that he/she is in suitable health and capacity to participate in this activity; and 4) that he/she is at least eighteen (18) years of age and fully competent to sign this Agreement, and if he/she is not at least eighteen (18) years of age, that a legal guardian has also signed the Agreement below.

Media Release. Participant gives helloHOPE permission to take and use photographs, videos, or other recordings of Participant taken during the Activity and use and sublicense such material for any purpose in print, advertisements, films or videos and online and broadcast presentations of any sort. Participant explicitly agrees that his/her image and likeness in any material obtained by helloHOPE during an Activity may be used in the sole discretion of helloHOPE and without prior permission of Participant.

Participation by Minors. By signing this agreement, I verify that I am the parent/legal guardian of the below-named minor, and have read and understand the above waiver and release of liability, and agree to be bound by its provisions. As his/her parent/legal guardian, I hereby grant permission for him/her to participate in Activity.

Consent to Medical Treatment. As legal guardian of Participant, I recognize that there may be occasions where the student named above, or I, if I am a Participant, may be in need of first aid or emergency medical treatment as a result of an accident, illness, or other health condition or injury.  I authorize an agent of helloHOPE to consent to any X-ray, examination, anesthetic, medical, surgical or dental diagnosis or treatment, and hospital care, to be rendered to the minor under the provisions of the Medical Practice Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. In so doing, I agree to pay all fees and costs arising from this action to obtain medical treatment.