Rise Up Community Farm- Release and Waiver
We are so grateful for your time and participation at Rise Up! Thank you for investing in our work planting hope in our community, cultivating, educating, nourishing, and empowering! If you have any questions at all about the following release and waiver, please reach out to admin@riseupcommunityfarm.org.
Full Name
*
First Name
Last Name
Date of Birth
*
MM/DD/YYYY
Email
*
example@example.com
Would you like to receive updates on farm events?
Text Alerts for Volunteer Hour Modifications
Email Updates on Farm Events
Both
Neither
For text notifications, please provide your phone number.
Please enter a valid phone number.
Format: (000) 000-0000.
How did you find out about volunteering with Rise Up Community Farm?
As a volunteer, I desire to participate in activities related to the farm, property, and farming activities in general. These activities may include but are not limited to digging, lifting, bending, using sharp tools, using power tools, time in the outdoors, exposure to insects, and bright sun.
1. Release and Waiver.
I do hereby release and forever discharge and hold harmless Rise Up Community Farm from any and all liability, claims, and demands for whatever kind or nature either in law or in equity, which arise or may hereafter arise from my participation in the activities related to the farm and workdays.
2. Media Release.
I grant Rise Up Community Farm my consent and full right to use my name, photograph, likeness, image voice and or/biography in any and all media, publications, advertising and publicity, in connection with my participation with any Rise Up Community Farm project or related activity with a direct partner of Rise Up Community Farm.
3. Code of Conduct.
At Rise Up Community Farm, cultivating community is central to our mission. We are committed to maintaining an environment where all employees, volunteers, apprentices, interns, youth participants, and visitors are treated with respect, courtesy, and dignity — free from discrimination, harassment, and retaliation of any kind.
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
*
Emergency Contact Name
*
First Name
Last Name
Relationship to You
*
Emergency Contact Phone Number
*
Format: (000) 000-0000.
Volunteers Under 18 Years of Age
For volunteers under 18 years of age a Parent/Guardian Signature of Consent is needed
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Signature
SUBMIT
Should be Empty: