Volunteer Waiver

Instructions

Please complete the Volunteer Release and Waiver of Liability, and Assumption of Risk Agreement form below. If the signature box does not appear, please try refreshing this page.

If your browser is not compatible with the online form, you may download a PDF version of the Volunteer Waiver here and email your completed form to sean@realfoodct.org or hand it in the next time you volunteer.

Volunteer Release and Waiver of Liability, and Assumption of Risk Agreement

Volunteer Release and Waiver of Liability, and Assumption of Risk Agreement*
THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR RIGHTS. PLEASE READ CAREFULLY.
This Release and Waiver of Liability, and Assumption of Risk Agreement (the “Waiver”) is delivered to the Real Food CT, Inc., a nonprofit corporation organized and existing under the laws of the State of Connecticut, (collectively “RFC”), in consideration for permission to participate as a (Volunteer), and is effective as of the date signed by Volunteer, below.
1. Waiver and Release of Liability: I hereby release and forever discharge RFC, each of its directors, officers, employees, and agents, and any other person acting on their behalf, from any responsibility or liability, even if caused by the negligence of RFC, its employees or agents or any other person, for any loss, injury or damage to myself or my property or equipment (including any animal), whether or not foreseeable, occurring in connection with my Volunteer activities with RFC or my presence on or about the RFC Volunteer site. I understand that I am not an employee of RFC; that as a Volunteer I will not be paid compensation for my Volunteer services; and that RFC will not provide any benefits traditionally associated with employment to me.
  I further hereby agree to indemnify and hold harmless RFC, its employees and agents, and any other person acting on their behalf, from and against any loss, claim, injury or damage to any and all persons and property, including, without limitation, its employees and agents or their property, arising in connection with my Volunteer activities with RFC or my presence on or about the RFC Volunteer site or facilities.
2. Insurance: I understand that I am expected to carry personal medical insurance to cover medical expenses for any injuries I may suffer while performing Volunteer activities. I understand that RFC does not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health, or disability benefits or insurance.
3. Medical Treatment: I hereby release and forever discharge RFC from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during any Volunteer activity with RFC.
4. Assumption of Risk: I understand that the Volunteer services I provide on or about RFC Volunteer site are mainly outdoors, and may include activities that may be hazardous to me including, but not limited to: exposure to insects and poisonous plants, such as poison ivy, ticks, bees and other stinging insects; the dangers associated with site preparation and handling, assembling, and planting/installing gardening products and materials; the dangers from common outdoor unimproved site, including tripping and slipping hazards; the dangers involved in operating power tools and using common gardening tools and techniques; the dangers from falling and/or mishandled landscaping materials and objects; the dangers arising from weather conditions, equipment failure, inadequate safety equipment; construction projects, loading & unloading materials, and transportation to and from the RFC Volunteer site. I understand that by signing this Waiver, I hereby fully assume risk of injury or harm associated with these activities, whether or not foreseeable, even if due to NEGLIGENCE of RFC, and release RFC from all liability.
5. Photographic Release: I grant and convey to RFC all right, title, and monetary interests in any and all photographs, images, video, or audio recordings of me or my likeness or voice made by RFC employees, agents, or any other person, organization or company acting on their behalf solely in connection with my Volunteer services for RFC.
6. Other: As a Volunteer, I expressly agree that this Waiver is intended to be as broad and inclusive as permitted by applicable law. If any part hereof is held invalid, the balance shall nonetheless continue with full legal force and effect. This Waiver is intended to bind me, my family members, my estate, and/or executor/executrix of my estate forever from seeking any legal action against the RFC and its representatives due to any injuries or damages I may suffer as a result of my Volunteer activities with RFC.
7. Volunteer Guidelines: As a Volunteer, I agree to read and abide by all the following RFC guidelines, and I further acknowledge that any infraction of these rules will result in immediate dismissal from RFC Volunteer site, and that I will be sent home immediately at my expense.
8. Governing Law: This Waiver shall be governed by the laws of the state of Connecticut.
9. Neither RFC nor Volunteer admits to having acted wrongfully by signing this Waiver.
10. Additional Terms:
  1. I agree to always wear appropriate clothing for work (closed-toe shoes required; long pants & boots recommended). Gloves are recommended for Volunteer activities, as is appropriate clothing for sun exposure.
  2. I agree to always wear eye protection when using power tools, or near the use of power-tools and agree that I will not operate any unfamiliar tools without first being shown how to use them by a RFC manager.
  3. I agree to come prepared for any physical activities by appropriately dressing, hydrating, and caring for my body and all related personal conditions.
  4. I agree that I will not use a ladder without instruction from a RFC manager.
  5. I agree to report any unsafe working situations to a RFC manager immediately.
  6. I agree to notify a RFC manager if any injury (no matter how small) occurs, so that proper first aid may be administered.
  7. I understand that the use of drugs and/or alcohol while performing Volunteer services on or around a RFC Volunteer site is prohibited. I understand that it is illegal for a person under the age of 21 to purchase, possess, transport or consume alcohol or for a person over 21 to purchase alcohol for, or supply alcohol to, a person under the age of 21. RFC therefore prohibits the consumption of alcohol at any time by Volunteers under the age of 21.
  8. I agree not to remove any tools, building materials, camera equipment, or other property owned by RFC from the Volunteer site without permission from a RFC manager.
  9. I agree to behave respectfully toward other Volunteers & staff members.
  10. I agree to follow all instructions given by RFC managers while working on the RFC Volunteer site.
I consent to the Volunteer Release and Waiver of Liability, and Assumption of Risk Agreement (Required)*
Volunteer Signature*
Please sign with your mouse or touch screen.
Volunteer Name*
First Last
Volunteer Email*
Date*
MM slash DD slash YYYY
If Volunteer is a minor, then Parent/Guardian signature is required
Parent/Guardian Signature
If Volunteer is a minor, then Parent/Guardian signature is required. Please sign with your mouse or touchscreen.
Parent/Guardian Name
First Last
Parent/Guardian Email

Volunteer Release and Waiver of Liability, and Assumption of Risk Agreement

If Volunteer is a minor, then Parent/Guardian signature is required