2024-25 WAIVER FORM FOR VOLUNTEERS 13 YEARS OLD TO 18 YEARS OLD
PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT WHICH AFFECTS YOUR LEGAL RIGHTS!
YOUTHSERVE, INC. RELEASE AND WAIVER OF LIABILITY THIS RELEASE AND WAIVER OF LIABILITY (the "Release"), by a minor child (the "Volunteer"), the PARENT/GUARDIAN, the parent having legal custody and/or the legal guardian of the Volunteer (the “Guardian”), in favor of YouthServe, Inc., a nonprofit corporation, and their respective directors, officers, employees and agents. The Volunteer desires to provide services on behalf of YouthServe, Inc. as a volunteer. The Volunteer understands and acknowledges that the services performed by the Volunteer, from time to time may include a broad range of volunteer activities, assisting YouthServe, Inc. staff at either the YouthServe office or at special events or dedications, travel to and from work site locations and for other purposes (collectively, "Volunteer Services"). As used in this Release, the term "Volunteer Services" is intended to be used in its broadest sense and shall include any and all activities of any kind or nature, at any time and in any place that is performed by the Volunteer on behalf of YouthServe, Inc. This waiver is valid for one year after the date of signature. The Volunteer does hereby freely, voluntarily and without duress execute this Release under the following terms:
1. Waiver and Release. Volunteer does hereby release and forever discharge and hold harmlessly YouthServe, Inc. and its successors and assigns from any and all liability, claims and demands of that whatever kind or nature, either in law or in equity, which arise or may hereafter arise from Volunteer Services. Volunteer understands that this Release discharges YouthServe, Inc. from any liability or claim that the Volunteer may have against YouthServe, Inc. with respect to any bodily injury, personal injury, illness, death, disability, property damage, incidental or consequential damages, punitive damages or special damages that may result from Volunteer Services, whether caused by the negligence of YouthServe, Inc. or its officers, directors, employees or agents, other YouthServe volunteers, or otherwise. Volunteer also understands that YouthServe, Inc. does not assume any responsibility for or obligation to provide financial aid or other assistance, including but not limited to, medical, health or disability insurance except as YouthServe has specifically disclosed in writing to the Volunteer.
2. Medical Treatment. Volunteer does hereby release and forever discharge YouthServe, Inc. from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment or service rendered by any person in connection with Volunteer Services.
3. Assumption of the Risk. Volunteer acknowledges that there are potential hazards ("Hazards") involved in Volunteer Services. The term "Hazards" is intended to be used in its broadest sense and includes, but is not limited to natural hazards (land, weather, etc.) and man-made hazards (concrete, steel, etc.), food contamination, as well as hazards typical for construction sites, tools or equipment, and physical labor. The Volunteer understands and acknowledges that the Volunteer Services may include Hazards that could harm the Volunteer, and that such Hazards may or may not always be obvious. Volunteer hereby expressly and specifically assumes the risk of injury or harm for all such Hazards and releases YouthServe, Inc. from all liability for injury, illness, and death or property damage resulting from the Volunteer Services.
4. Insurance. YouthServe, Inc. does not carry or maintain, and expressly disclaims responsibility for providing any health, medical or disability insurance coverage for the Volunteer. Volunteers are not to be deemed employees or agents of YouthServe, Inc., and YouthServe, Inc. shall not be responsible for the purchase of worker's compensation insurance. EACH VOLUNTEER ISEXPECTED AND ENCOURAGED TO ARRIVE WITH MEDICAL OR HEALTH INSURANCE COVERAGE IN EFFECT. EACH VOLUNTEER EXPRESSLY ACKNOWLEDGES THAT THERE HAS BEEN NO EXPRESS OR IMPLIED AGREEMENT BY YOUTHSERVE, INC. TO PROVIDE INSURANCE COVERAGE OF ANY KIND TO THE VOLUNTEER.
5. Photographic Release. Volunteer does hereby grant and convey unto YouthServe, Inc. all right, title and interest in any and all photographic images and video or audio recordings made by YouthServe, Inc. , including but not limited to, any royalties, proceeds or other benefits derived from such photographs or recordings.
6. Other. Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Alabama, and that this Release shall be governed by and interpreted in accordance with the law of the State of Alabama. Volunteer agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the validity of the remaining provisions of this Release which shall continue to be enforceable.
PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT, WHICH AFFECTS YOUR LEGAL RIGHTS! YOUTHSERVE, INC
PARENTAL AUTHORIZATION FOR TREATMENT OF A MINOR
I, am the parent or legal guardian having custody of my minor child. As such parent or legal guardian, I hereby authorize and appoint YOUTHSERVE, INC., an Alabama nonprofit corporation as my agent to act for me with respect to the Volunteer and in my name in any way that I could act in person to make any and all decisions for me with respect to the Minor Child concerning the Minor Child’s personal care, medical treatment, hospitalization and health care, and to require, withhold or withdraw any type of medical treatment or procedure including, without limitation, x-ray examination, anesthetic, medical or surgical diagnosis of treatment which may be rendered to the Minor Child under the general or special supervision and on the advice of any physician or surgeon licensed to practice in the state in which treatment is sought. My agents shall each have the same access to the Minor Child’s medical records that I have including the right to disclose the contents to others. I expressly acknowledge and agree that this authorization is intended to be as broad and inclusive as permitted by the laws of the State of Alabama, and that this authorization shall be governed by and interpreted in accordance with the law of the State of Alabama.
The Parent/Guardian electronic signature below and in all related fields of this application are received in faith and treated by YouthServe, Inc. as a hand-written signature by the parent/guardian on a signed physical paper form. I affirm that all information provided in this application is true and accurate to the best of my knowledge.
