KHB Electronic Volunteer Event Waiver

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Thank you for participating in our KHB event. We appreciate your support!

Please complete this waiver of liability form agreeing that you assume all risk of participation for this event per the terms below.

**One waiver is required for each volunteer, unless the volunteer is a minor volunteering with a legal guarding, in case the minor and legal guardian may be included on the same form. A separate waiver will need to be filled out for each participating minor under the age of 18.**

Email *

Have you already completed this event waiver at another event this year? *

Yes

Would you like to be added to our volunteer email distribution list?

Full Name of Participant (First and Last name) *

Emergency Contact and Telephone Number

If volunteer is a minor below the age of 18 years, please list their (1) name, (2) legal guardian, and (3) emergency telephone number here:

I am aware that this event is voluntary and I am able to choose not to participate. *

I AGREE

To participate in this event you must consent to the City of Hilliard Recreation Volunteer Waiver conditions: I (or if under the age of 18, the participant’s legal guardian) agree to assume all liability for, and agree to save, indemnify, defend, and hold harmless the City of Hilliard, Ohio, its elected officials, officers, employees, agents, subcontractors, and volunteers (hereinafter “City”) from and against any and all claims or demands of any sort or nature for damage or injury to persons or property caused by me or caused by the acts or omissions of the City during my participation as a volunteer.
I further understand and agree, and I hereby consent and voluntarily agree specifically to (1) waive and release any and all claims of any sort or nature that I may have against the City, its elected officials, officers, employees, agents subcontractors and volunteers, for any personal injury, bodily injury or death, and for any property damage or loss suffered by me regardless of the cause thereof, and I (2) agree to hold harmless and indemnify the City from any and all claims or demands of any kind or nature which may be asserted by me, or on behalf of me by a third person, for any personal injury, bodily injury, death, or property damage or loss, regardless of the cause thereof.
I consent to the City of Hilliard, or its agent, photographing myself, and/or my minor child, participating in programs and volunteer activities and I consent to using those photographs for program and publicity purposes in various mediums, including print, electronic and website publications.
I agree and understand that as a volunteer, I am not, nor will I hold myself out to be, an employee of the City for any reason whatsoever.
By my/our signature(s) below, I affirm that I have read and fully understand the terms, conditions, releases, and waivers set forth above and agree to be bound by them. *

I AGREE

Send me a copy of my responses.

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