Girl Talk Camp Volunteer Application & Waivers

Thank you for your interest in volunteering at Girl Talk Camp! We've planned an amazing week and can't wait to see you this summer! Before filling out the form below, please read the following tips:

1. To serve as a volunteer you will need to complete the form and all of the waivers below. If you are under the age of 18, in addition to your signatures, your parents will also need to sign the waivers below.

2. If you are 18+, Girl Talk requires you to pass a background check. Once we receive your application, we will send you a link to complete the background check.

3. If you have any questions, please contact Ellen Dickson at Ellen@MyGirlTalk.org.

I agree that each of the statements below are true:

1. My role is as a volunteer, and I will receive no financial reimbursement for services rendered.

2. I will complete the required training and orientation and will be aware of the assigned duties.

3. If I have any questions, I will seek guidance of a Girl Talk team member.

4. I recognize that any and all information shared with me as a part of my duties as a volunteer is confidential and shall not be divulged to unauthorized individuals, agencies, or ogranizations.

5. I will not copy, transcribe, record or memorize confidential information in any manner, nor disclose or use such information for any purpose other than for the limited purpose of providing the assigned volunteer assistance to Girl Talk.

6. I have never been convicted of a felony and have never been accused of any crime against children.

7. I understand that Girl Talk has the right, at any time, to suspend my ability to volunteer within the organization.

As a volunteer, you must read and sign all waivers below to serve at the Girl Talk Camp.

MEDICAL RELEASE

This is to certify that during the Girl Talk Camp held from June 1, 2020 - June 5, 2020, the parent or guardian of the minor listed within this form (“Youth”), or for myself, as an adult participant (collectively, “Participant”), give my consent to Girl Talk, Inc., staff for any of Girl Talk’s programs and/or activities, including without limitation to, The Girl Talk Camp, and Girl Talk’s medical representative to obtain medical care from any licensed physician, hospital, or clinic for the above mentioned Participant, for any injury that could arise from participation in the Girl Talk sponsored activity listed above. The Participant herein described has permission to engage in all prescribed activities.

If I am a Youth, then in the event that the emergency contact provided above cannot be reached in an emergency, I hereby give permission to the physician selected by the Girl Talk representative to hospitalize, secure proper treatment for and to order injections, anesthesia, or surgery for my child as named above.

RELEASE OF LIABILITY

It is my understanding that participation in the activities that make up Girl Talk Camp may involve some risk of injury. As such, in consideration of my/my child’s participation in Girl Talk Camp:

• If Participant is a minor, I/we hereby certify that I/we am/are the parent(s) or legal guardian(s) of the Participant listed herein.
• I/we certify that the Participant is physically capable of participating in Camp and all related components of said Camp.
• I/we hereby give permission for the staff or volunteer of Girl Talk to seek appropriate medical treatment for the Participant during the period of the Camp and for the Participant to receive medical attention in the event of an accident, injury, disease or illness. I assume all risks of bodily injury to myself or my child and give permission for me/him/her/they to be taken to a hospital and/or treated by licensed medical personnel for a medical emergency, illness, or injury; and for licensed medical staff to take emergency measures as they deem appropriate.
• I/we will be responsible for all costs of medical attention provided. As a condition to the Participant’s participation in the Camp, I/we, for ourselves individually and/or on behalf of the Participant, our heirs, executors, and administrators, hereby waive, release and forever discharge Girl Talk, Holy Innocents’ Episcopal School, its governing board, directors, officers, staff, partners, agents, consultants, employees, independent contractors and volunteers (the "Released Parties"), from any and all liability, claims, demands, actions, and causes of action arising out of or related to any loss, personal injury, disease, illness or property damage that may be sustained or occur during participation in (including periods of rest or other activities related to) or otherwise be associated with the Camp and/or any duties or the breach of any duties that the Released Parties have or are alleged to have to the Participant or the undersigned in connection with the Participant’s transportation to, transportation from, participation, meals and medical decisions relating to the Camp, whether or not such damages, injury or loss is due to the negligence, strict liability or other legal fault of one or more of the Released Parties.
• I/we, further, give Girl Talk permission to transport me and/or my child by car, bus or van to an off­-site or facility, if needed. I/we also agree to follow all instructions and procedures in order to maintain a maximum level of safety.

CONSENT AND RELEASE AGREEMENT

REGARDING PHOTOS / VIDEOS / AUDIO RECORDINGS

In consideration of my or my child(ren)’s participation in the programs and activities provided by Girl Talk, Inc. ("Girl Talk"), I or as the parent or legal guardian of the (“Participant”), hereby agree as follows:

1. Copyrights and Usage . I hereby grant to Girl Talk the right and permission, in respect of any photographs, videos and/or audio recordings which any of its members, officers, directors, employees, contractors, volunteers, representatives, successors and assigns may take or have taken of me and/or Participant, or in which I and/or Participant may be included with others, to copyright the same in the name of Girl Talk or otherwise; to use, reuse, publish and re-publish the same, in whole or in part, in conjunction with any printed matter in any and all media now or hereafter known, including web pages, electronic mails and the like, for illustration, art, promotion, advertising, fundraising or any other purpose; and to use my and/or Participant’s own or a fictitious name, likeness and any statement made by me and/or Participant in connection therewith if Girl Talk so chooses, without payment or any other consideration.
2. Ownership, Modification and Publication . I understand and agree that any such photographs, videos and audio recordings, including without limitation all negatives, prints and digital reproductions thereof, shall be and will become the property of Girl Talk. I hereby irrevocably authorize Girl Talk to edit, alter, digitally compose, copy, exhibit, publish or distribute any such photographs, videos and audio recordings for purposes of publicizing Girl Talk’s programs and activities or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product or products or the advertising copy or printed matter, whether written or electronic, of any such material in which my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use or publication of any such photographs, videos and audio recordings.
3. Release and Hold Harmless. I release, discharge, and agree to hold harmless and defend Girl Talk and any and all of its members, officers, directors, employees, contractors, volunteers, representatives, successors and assigns from any liability by virtue of any reason in connection with the making and use of any such photographs, video and audio recordings, including blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in the making of said photographs, video and audio recordings or in any subsequent processing thereof, as well as any publication of them, including without limitation any claims for libel or violation of any right of publicity or privacy.
4. Severability. In the event that any portion of this Agreement is held to be invalid or unenforceable, the validity or enforceability of the remainder of this Agreement shall be unaffected and shall remain valid and enforceable to the full extent permissible under law.
5. Governing Law. This Agreement and any disputes arising under or in connection with it shall be governed by the laws of the State of Georgia. I hereby submit to the exclusive jurisdiction of the state and federal courts of the State of Georgia for the settlement of any and all such disputes.
6. I certify that I am the parent or legal guardian of the Participant, or that I otherwise have the legal authority to represent Participant and act on my/her/his/they behalf. I have read and understood this Agreement. I hereby consent to and ratify this Agreement and agree, on behalf of myself , Participant and each of our respective legal representatives, heirs and assigns, to be bound by its terms. I hereby understand that should I chose not to give consent it is the responsibility of the Participant to not allow themselves to be photographed by Girl Talk.

Certification

I hereby certify that I (or my child, if under 18) has not been convicted of a felony or any offense involving the physical or sexual abuse, molestation or rape of a child; and that I/she/he/they has not been convicted of a crime of moral turpitude (lying or stealing). I hereby certify that all information provided in this authorization is true, correct and complete and that I agree to abide by all rules, regulations and policies of the Girl Talk Camp. I understand that if any proves to be incorrect or incomplete that grounds for canceling any and all participation exists. I hereby agree, to the fullest extent permitted by applicable law, to indemnify and hold harmless discharge Girl Talk, Holy Innocents’ Episcopal School, its governing board, directors, officers, agents, consultants, employees, independent contractors and volunteers, and Girl Talk Camp, its owners, directors, officers, members, partners, staff, agents, consultants, employees, independent contractors and volunteers (collectively, the “Released Parties”), from, against and for any losses, costs, expenses, claims, demands, suits, judgments and all other liabilities (including attorney’s fees, expenses and court costs), to which the Released Parties may be subject as a result of any false statement contained in this Certification.

Confirmation

BY SUBMITTING THIS FORM, I UNDERSTAND I AM DELIVERING ELECTRONIC SIGNATURES THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Please note, you are not registered as a volunteer until this form, all waivers and background check (if applicable) are successfully completed and submitted.