CENTRAL CEDAR RAPIDS WEED AND SEED
PLEASE READ THIS CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!
This Release and Waiver of Liability (the “Release”) executed on this __ day of ___________, 200__, by __________________ (the “Volunteer”) in favor of Central Cedar Rapids Weed and Seed, its directors, officers, employees, agents, and participating agencies and organizations (collectively, “W & S”).
The Volunteer desires to work as a volunteer for W & S and engage in the activities related to being a volunteer (the “Activities”). The Volunteer understands that the Activities may include painting buildings; trimming trees and bushes; fixing porches, windows, doors, roofs, gutters, steps, and sidewalks; and planting trees, among other things.
The Volunteer hereby freely, voluntarily, and without duress executes this Release under the following terms:
Release and Waiver. Volunteer does hereby release and forever discharge and hold harmless W & S and its successors and assigns from any and all liability, claims, and demands of whatever nature, either by law or in equity, which arise or may hereafter arise from Volunteer’s Activities with W & S.
Volunteer understands that this Release discharges W & S from any liability or claim that the Volunteer may have against W & S with respect to any bodily injury, personal injury, illness, death, or property damage that may result from Volunteer’s Activities with W & S, whether caused by the negligence of W & S or its officers, directors, employees, agents, or participating agencies or organizations or otherwise. Volunteer also understands that W & S does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness.
Medical Treatment. Volunteer does hereby release and forever discharge W & S from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Volunteer’s Activities with W & S.
Assumption of the Risk. The Volunteer understands that the Activities may include work that may be hazardous to the Volunteer, including, but not limited to, construction, loading and unloading, and transportation to and from the work sites.
Volunteer hereby expressly and specifically assumes the risk of injury or harm in the Activities and releases W & S from all liability for injury, illness, death, or property damage resulting from the Activities.
Insurance. The Volunteer understands that, except as otherwise agreed to by W & S in writing, W & S does not carry or maintain health, medical, or disability insurance coverage for any Volunteer. Each Volunteer is expected and encouraged to obtain his or her own medical or health insurance coverage.
Photographic Release. Volunteer does hereby grant and convey unto W & S all right, title, and interest in any and all photographic images and video or audio recordings made by W & S during the Volunteer’s Activities with W & S, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs and recordings.
Other. Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Iowa, and that this Release shall be governed by and interpreted in accordance with the laws of the State of Iowa. 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 invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.
IN WITNESS WHEREOF, Volunteer has executed this Release as of the day and year first above written.
Volunteer (please print name): ______________________________________________
Address: _______________________City: ________________ State: ___ Zip: ______
Phone (home): ___________ Phone (work): ____________ Phone (other): ___________
Signature: ______________________________________________________________
In case of emergency, please contact:
Name: _________________________________ Relationship: ____________________
Address: __________________________ City: _____________ State: ___ Zip: ______
Phone (home): ___________ Phone (work): ___________ Phone (other): ____________
**PARENT/GUARDIAN MUST SIGN BELOW IF VOLUNTEER IS UNDER THE AGE OF 18
Parent/Guardian signature: _______________________________________________