I acknowledge there are certain inherent risks serving as a volunteer, including but not limited to physical injury and death. I acknowledge that all risks can not be prevented and I assume those risks beyond the control of JACOB'S BRIDGE TO LEARNING, INC faculty and staff. I represent that I am physically able, with or without accommodation, to participate in volunteer service, and that I am able to use the equipment and/or supplies described.
Should I require emergency medical treatment as a result of accident or illness arising during volunteer work, I consent to such treatment. I acknowledge that JACOB'S BRIDGE TO LEARNING, INC does not provide health and accident insurance for volunteers and I agree to be financially responsible for any medical bills incurred as a result of emergency medical treatment. I will notify JACOB'S BRIDGE TO LEARNING, INC staff at my volunteer site in writing if I have medical conditions about which emergency medical personnel should be informed.