Please accept the InsightLA inc. Waiver by reading the text below and entering your name and address into the form answer field at the end of the form if you agree. You cannot volunteer at InsightLA without doing so. Many thanks! 

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As a volunteer, I may have access to confidential information, including but not limited to addresses, phone numbers, and/or medical information of individuals and families receiving the Company’s services. At all times during and after my participation, I agree to hold any such confidential information in confidence and not disclose or use it except as required in relation to an Activity or as the Company expressly authorizes.

I am aware and understand that an Activity involves the risk of potential injury or illness. I acknowledge that any injuries that I sustain may result from or be compounded by the actions, omissions, or negligence of others, including the Company and the other Releasees (as defined in the fifth paragraph below). I am aware of and understand the contagious nature of bacterial and viral diseases, including without limitation the 2019 novel coronavirus disease (COVID-19) and all variations thereof (the “Disease”) and the risk that I may be exposed to or contract the Disease or other infectious diseases by being on any Premises and/or engaging in any Activity. I understand and acknowledge that such exposure or infection may result in serious illness, personal injury, permanent disability, death, or property damage. I acknowledge that this risk may result from or be compounded by the actions, omissions, or negligence of others, including the Company and the other Releasees. I understand that while the Company has implemented preventative measures designed to reduce the spread of the Disease, the Company cannot guarantee that I will not become infected with the Disease or other infectious diseases while on the Premises and that being on the Premises may increase my risk of contracting the Disease.

NOTWITHSTANDING THE ABOVE RISKS, I ACKNOWLEDGE THAT I AM KNOWINGLY AND VOLUNTARILY PARTICIPATING WITH A VOLUNTEER WITH AN EXPRESS UNDERSTANDING OF THE DANGER INVOLVED AND HEREBY AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS OF SERIOUS ILLNESS, PERSONAL INJURY, PERMANENT DISABILITY, DEATH, OR PROPERTY DAMAGE ARISING FROM MY VOLUNTEERING, WHETHER CAUSED BY THE ORDINARY NEGLIGENCE OF THE COMPANY OR OTHERWISE.

I hereby expressly waive and release any and all claims which I may have, or which I may hereafter have, whether known or unknown, against the Company, and its officers, directors, employees, volunteers, agents, affiliates, successors, and assigns (collectively, “Releasees”), on account of injury, illness, disability, death, or property damage arising out of or attributable to my being on the Premises or volunteering and being exposed to or contracting the Disease, whether arising out of the ordinary negligence of the Company or any Releasees or otherwise. I covenant not to make or bring any such claim against the Company or any other Releasee, and forever release and discharge the Company and all other Releasees from liability under such claims. This waiver and release does not extend to claims for gross negligence, intentional or reckless misconduct, or any other liabilities that California law does not permit to be released by agreement.

I understand that by entering my name and address into this form, I am waiving any and all claims, of any kind arising out of or attributable to my participation in any Activity, including those claims that may be unknown to me, or which I do not suspect to exist at this time. 

WITH THE INTENTION OF WAIVING ALL UNKNOWN AND UNSUSPECTED CLAIMS, I HEREBY EXPRESSLY WAIVE ALL RIGHTS, BENEFITS, AND PROTECTIONS I MAY HAVE UNDER CALIFORNIA CIVIL CODE SECTION 1542, WHICH READS AS FOLLOWS: A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS THAT THE CREDITOR OR RELEASING PARTY DOES NOT KNOW OR SUSPECT TO EXIST IN HIS OR HER FAVOR AT THE TIME OF EXECUTING THE RELEASE AND THAT, IF KNOWN BY HIM OR HER, WOULD HAVE MATERIALLY AFFECTED HIS OR HER SETTLEMENT WITH THE DEBTOR OR RELEASED PARTY.

I shall defend, indemnify, and hold harmless the Company and all other Releasees against any and all losses, damages, liabilities, deficiencies, claims, actions, judgments, settlements, interest, awards, penalties, fines, costs, or expenses of whatever kind, including attorney fees, fees, the costs of enforcing any right to indemnification under this Release, and the cost of pursuing any insurance providers, incurred by and/or awarded against the Company or any other Releasees arising out of or resulting from any claim by me or of a third party related to my volunteering for the Company, presence on any Premises or related to the Disease, including any claims arising out of my own negligence or the ordinary negligence of the Company.

I hereby consent to receive from any licensed hospital, physician, or medical personnel any medical treatment deemed necessary if I am injured or require medical attention during my volunteering. I understand and agree that I am solely responsible for all costs related to such medical treatment and any related medical transportation and/or evacuation. 

This Release constitutes the sole and entire agreement of the Company and me with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such subject matter. 

If any term or provision of this Release is held invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Release or invalidate or render unenforceable such term or provision in any other jurisdiction. 

This Release is binding on and shall inure to the benefit of the Company and me and their respective heirs, successors, and assigns. 

All matters arising out of or relating to this Release shall be governed by and construed in accordance with the internal laws of the State of California without giving effect to any choice or conflict of law provision or rule (whether of the State of California or any other jurisdiction). 

Any claim or cause of action arising under this Release may be brought only in the federal and state courts located in Los Angeles, California and I hereby consent to the exclusive jurisdiction of such courts.

BY ENTERING MY NAME AND ADDRESS INTO THIS FORM, I ACKNOWLEDGE THAT I HAVE READ AND FULLY UNDERSTOOD ALL OF THE TERMS OF THIS RELEASE AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE COMPANY FOR CLAIMS, WHETHER KNOWN OR UNKNOWN, ARISING OUT OF MY VOLUNTEERING FOR THE COMPANY.

IF THE VOLUNTEER IS A MINOR: I am the parent or
legal guardian of the minor named above. I have the legal right to consent to and, by signing below, I hereby do consent to the terms and conditions of this Release of Liability and Assumption of Risk.

By entering my name and address into this form I hereby do consent to the terms and conditions of this Release of Liability and Assumption of Risk.

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Many thanks. 

The InsightLA Team