Volunteer Release and Waiver Liability Form
We are so excited you have chosen to volunteer at Christ Lincoln Church and/or Christ Lincoln Schools! Thank you! Please note that you must be 19 or older to sign this form.
What area of ministry will you be serving?
Christ Lincoln Schools: Elementary School
Christ Lincoln Schools: Childcare
Church: Family Ministries (0-18)
Church: Connections
Facilities
Other
Will you be driving while you serve this area of ministry?
Yes
No
Possibly
Agreement:
This Release and Waiver of Liability is executed on the date signed below. I acknowledge that I have agreed to serve in a volunteer position for Christ Lincoln. I understand and agree that the scope of my relationship with Christ Lincoln, a Lutheran Ministry (a/k/a Christ Lutheran) is limited to a volunteer position and that no compensation is expected in return for services provided. I understand that Christ Lincoln, will not provide any benefits traditionally associated with employment and that I am responsible for my own insurance coverage in the event of personal injury or illness as a result of my services to Christ Lincoln.
Please check each box to acknowledge your agreement of the terms:
*
Christian Core Values: I understand that as a volunteer I am expected to uphold Christian Core Values leading by example in word and action. Failure to do so will release me from serving as a volunteer.
Waiver and Release: I release and forever discharge and hold harmless Christ Lincoln and its successors and assigns from any and all liability, personal injury, death, or property damage which arise from the volunteer services I provide to Christ Lincoln.
Insurance: Further I understand that Christ Lincoln 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. I expressly waive any such claim for compensation or liability on the part of Christ Lincoln beyond what may be offered freely by Christ Lincoln in the event of injury or medical expenses incurred by me.
Medical Treatment: I hereby Release and forever discharge Christ Lincoln 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 my tenure as a volunteer with Christ Lincoln.
Assumption of Risk: As a volunteer, I hereby expressly assume risk of injury or harm from any activities and I release Christ Lincoln from all liability.
Conflict/Grievance Resolution: I agree to resolve internally any concerns and/or grievance through a mutually acceptable alternative resolution process.
Background Check requirements
If you are transporting students you will need to complete a background check at Protect My Ministry every three years. If unsure whether a background check is needed, connect with your Volunteer Ministry Leader for further instructions. The link to the background check is: https://ministryopportunities.org/Application.aspx?oid=14504.
Volunteer Driver requirements
If you are transporting students for Christ Lincoln Church and/or Christ Lincoln Schools, the following will be required at least 24 hours prior to the event. The link to the MVR is: https://www.nebraska.gov/dmv/dlrcc/index.cgi
Have you completed a background check at Protect My Ministry within the last 3 years?
Yes
No
Unsure
Valid Driver's License
Browse Files
PDF or Image
Cancel
of
Date of Birth
-
Month
-
Day
Year
We prefer that all our drivers be at least 24 years old.
Driver's License Expiration Date
-
Month
-
Day
Year
Date
Current Insurance
Browse Files
PDF or Image
Cancel
of
Insurance Expiration Date
-
Month
-
Day
Year
Date
MVR (Updated every year)
Browse Files
PDF or Image
Cancel
of
Please check each box to acknowledge your agreement of the terms:
Driver Liability: I understand that if I am involved in operating a CL vehicle and/or my personal vehicle and/or driving/transporting children/adults to and from any activity or destination that I will be required to provide annually a Nebraska Driving Record (MVR). I understand that the Director of Ministry or the Director of Staff Engagement may deny me the opportunity to operate a CL vehicle and/or transport children if violations support the reason for doing so.
I understand and agree that all children up to the age of eight years old must sit in the back seat and be in a car seat or booster seat per Nebraska state law.
I understand and agree that all children must wear a seat belt at all times when inside the vehicle per Nebraska state law.
I understand and agree that no child can ride in the front seat.
I hereby agree to the above terms and conditions as outlined above. By signing below, I acknowledge that I understand this document and have signed it voluntarily for the purposes stated in it.
Legal Name
*
First Name
Last Name
Today's Date
*
-
Month
-
Day
Year
Date
Signature
*
Clear
Submit
Should be Empty: