BRIDGING THE GAP NEIGHBORHOOD CANVASSING EVENT
VOLUNTEER WAIVER OF LIABILITY,
ASSUMPTION OF RISKS AND PHOTO
RELEASE
I am aware that working as a volunteer at Bridging
The Gap’s Neighborhood Canvassing Events is a potentially dangerous
activity. I warrant that I have no
physical or psychological medical conditions that would create risk(s) for
myself or others in connection with this volunteer activity. The volunteer work I may perform will take
place in urban neighborhood settings and will include but is not limited to walking
predetermined routes, climbing stairs, knocking on doors, contact with
residents, and literature drops. Possible risks could include but are not
limited to steep embankments and drop-offs, naturally vegetated woodland areas with
inherent dangers that include, but are not limited to, exposure to noxious
plants such as poison ivy, snake or insect bites, contact with dogs, contact
with potentially dangerous materials such as herbicide, cuts or traumatic
injuries from broken glass, limbs of bushes or trees or other materials, falls,
injuries related to uneven ground, exposed roots or loose footing, contact with
residents and the general public, including but not limited to vehicular
traffic, and the effects of weather conditions, including high heat and/or
humidity, cold, wind, snow, rain or ice.
In the event my volunteer activities take place
through the use of an automobile, boat, or other vehicle, such as shuttle
transportation to a worksite, or in an office or other setting I understand
that there are certain additional and different risks that arise in such
atmospheres and this waiver and assumption of risk is intended by me to include
any and all such risks. Therefore, I
assume any and all risks directly or indirectly associated with working as a
volunteer at this event, and I understand that I am solely responsible for my
own safety and for the safety of those with me both on the premises and in traveling
to and from this event and in my dealings with the general public while working
as a volunteer at this event. If any of
the activities I may encounter appear to pose a risk that I am not comfortable
with, I will refrain from engaging in such activities.
Being aware of the above facts, and in
consideration of being a participant in Bridging The Gap’s Neighborhood Canvassing
Events, I hereby for myself, my heirs, executors, administrators or anyone else
who might claim on my behalf, covenant not to sue, and do release and hold
harmless Bridging The Gap, Inc. and Ripple Glass, and their representatives,
successors or assigns, from any and all claims or liability for death, personal
injury or property damage of any kind or nature whatsoever arising out of, or
in the course of, my participation as a Bridging The Gap volunteer.
Additionally, I understand that photos may be
taken during the event I am participating in, and I hereby grant Bridging The
Gap and Ripple Glass the irrevocable and unrestricted right to use and publish
photographs of me, or in which I may be included, without compensation, for
editorial, trade, advertising, and any other purpose and in any manner and
medium; to alter the same without restriction; and to copyright the same. I hereby release Bridging The Gap and Ripple
Glass from all claims and liability relating to said photographs. I understand that Bridging The Gap does not
currently offer court-ordered or disciplinary community service and that
Bridging The Gap staff will not sign off on documents verifying service hours
for court-ordered or disciplinary service.