United Way of Clallam County - 2020 Virtual Day of Caring waiver and sign up form.
This waiver must be completed to participate in United Way's Virtual Day of Caring. This form is also used to track volunteers and hours donated on Friday, September 11th. Thank you for your participation! Please call our office if you have any questions.
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Name *
E-mail Address *
Company/organization
Phone #
Emergency Contact - Name and Number *
What type of virtual volunteer project(s) will you work on and for how many hours? *
Liability Release – By checking below, I hereby release, indemnify and hold harmless United Way of Clallam County and its officers and directors, the organizers, the agency at which I volunteer, and sponsors of all activities, from any and all liability in connection with any loss or injury to me (including any loss or injury caused by negligence) arising from my participation in any Day of Caring activity.   *
Required
Communications Release – By checking below, I hereby assign the rights to the video and/or photographic recording(s) made of me during Day of Caring to United Way of Clallam County or its agency(s). I hereby authorize the editing, duplication, reproduction, copyright, exhibition, broadcast and/or non-profit use and distribution of said recording(s) for purposes deemed suitable by United Way. I hereby waive any right to approve the finished products. *
Required
By checking below I also certify that I am over 18 years of age, in good health and able to participate in the program activities on Day of Caring. I have read the foregoing release, authorization and agreement, and I fully understand the contents. – If the individual is a minor (under 18 years of age), the parent or legal guardian clicks below and  hereby consents and agrees, as a parent or legal guardian of the individual above, to all the terms and provisions as stated. *
Required
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