In consideration for being allowed to participate as a volunteer in the Columbus Point in Time count, Home for Good and United Way of the Chattahoochee Valley on behalf of myself and my next of kin, heirs and representatives, I release from all liability and promise not to sue the Columbus Point in Time count, Home for Good and United Way of the Chattahoochee Valley and collectively its’ contractors, employees, officers, directors, volunteers and agents (“Survey Process Leadership”) from any and all claims, including claims of negligence, resulting in any physical or psychological injury (including paralysis and death), illness, damages or economic or emotional loss I may suffer because of my participation in the Survey Process, including travel to and from and during the Survey Process.
I am voluntarily participating in the Survey Process. I am aware of the risks associated with traveling to/from and participating in Survey Week, which include but are not limited to physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability (including paralysis), economic or emotional loss, and/or death. I understand that these injuries or outcomes may arise from my own or other’s actions, inaction, or negligence; conditions related to travel; or the condition of the Survey Process location(s). Nonetheless, I assume all related risks, both known or unknown to me, of my voluntary participation in the Survey Process, including travel to, from and during the Survey Process.
I agree to hold the Survey Process Leadership harmless from any and all claims, including attorney’s fees or damage to my personal property that may occur as a result of my voluntary participation in the Survey Process, including travel to, from and during the Survey Process. If the Survey Process Leadership incurs any of these types of expenses, I agree to reimburse the Survey Process Leadership. If I need medical treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.
In consideration for my acceptance as a participant the Survey Process, and the services and amenities to be provided by the Survey Process Leadership in connection with the Survey Process, I confirm my understanding that: