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I agree to abide by the policies and procedures set forth by the Georgia Lions Lighthouse Foundation and all authorized representatives thereof. I further agree that I am volunteering at my own risk and will hold blameless the organization and its employees and affiliates in the event of an accident, injury, illness, or other health issue which may arise as a result of volunteering. I understand that all work I perform will be on a volunteer basis and ineligible for monetary compensation or award. I further understand that I will not be covered for workers’ compensation by the Georgia Lions Lighthouse Foundation while I am performing my volunteer duties related to this project. I am able to perform the duties explained to me.
These activities may contain certain inherent dangers and risk of injury or death, which I acknowledge and voluntarily assume, because I choose. I voluntarily elect to accept all risks connected with my participation in the activities present at this event.
In consideration of the acceptance of my participation in the Georgia Lions Lighthouse Foundation’s Volunteer Program, I for myself, my heirs, executors, administrators and assigns hereby waive, release, and discharge and agree not to sue the Georgia Lions Lighthouse Foundation, their agents, representatives, officers, employees, and volunteers (hereinafter collectively referred to as “LIGHTHOUSE”) from injury, death or damage to or loss of personal property arising out of or in connection with my volunteer assignment. Further, I, for myself, my heirs, executors, administrators and assigns hereby agree to hold LIGHTHOUSE harmless and indemnify LIGHTHOUSE from any and all claims, demands, actions or suits arising out of or in connection with my volunteer assignment.
I agree to follow all of the Foundation’s rules, procedures, safety practices, and policies while performing my assignment.
I have carefully read this release, indemnification, hold harmless and agreement not to sue and fully understand this is a release of all liability and I have signed it of my own free will.
(the “Minor”) hereby consent to and authorize the Minor to act as a volunteer for The Georgia Lions Lighthouse Foundation.
I acknowledge and agree that activities performed by the Minor as a volunteer will be performed strictly on a voluntary basis, without any pay, compensation, or benefits. I agree and understand that the Minor must comply with the rules and regulations established from time to time by The Georgia Lions Lighthouse Foundation and that failure to do so may result in the Minor’s immediate removal as a volunteer.
I am aware of the nature of the activities to be performed by the Minor as a volunteer and recognize that in performing volunteer tasks, a risk of harm or injury exists. I agree that all volunteer activities are to be performed by the Minor at the Minor’s risk and I assume full responsibility therefore.
On behalf of myself, the Minor, and our respective heirs and personal representatives, I agree not to hold or attempt to hold The Georgia Lions Lighthouse Foundation, their population served, volunteers, or staff responsible for any injury or damage sustained or incurred by the Minor, arising out of or in any way connected with the Minor’s activities as a volunteer for The Georgia Lions Lighthouse Foundation. I hereby release and discharge The Georgia Lions Lighthouse Foundation, their employees, and their volunteers from any and all claims, demands, causes of action of any nature or cause, for any such injury or damage incurred or suffered by the Minor.
All information regarding Georgia Lions Lighthouse Foundation, its clients, staff and programs is considered confidential. It is expected that all interns, volunteers and observers will comply with this policy at all times. All client personal health information is protected under the Health Insurance Portability and Accountability Act (HIPAA). Any unauthorized use of client personal health information is illegal under HIPAA.
Additionally, no intern, volunteer or observer is allowed to take pictures or videos of any client at Georgia Lions Lighthouse Foundation. Audio recording of any type is also prohibited.
Your signature below indicates that you understand these laws and policies and agree to comply with the law and policies at all times. If you have any questions regarding confidentiality please ask a director.