Parent/ Guardian Release and Waiver of Liability

Parent/ Guardian Release and Waiver of Liability
IMPORTANT: If the volunteer is less than 18 years of age, all parents or guardians must also sign this Release and Waiver of Liability with a witness. Also, all parents or guardians must complete the "Parental Authorization for Treatment of, and Travel with, a Minor Child" below. If only one parent or guardian executes this release on behalf of a child who is under 18 years of age, then the undersigned parent or guardian of the volunteer hereby covenants, warrants and represents and agrees that he or she executes this release on behalf of, or as an agent of any other individual who may be a parent or guardian of the volunteer, and that by executing this Release, the undersigned is binding himself/herself, the volunteer and any other parent or guardian of the volunteer, and all of their heirs, executors, personal representatives, assigns and estates to this Release.
Name of Minor Volunteering

First NameLast Name
Parent/ Guardian Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Signature

Clear
Witness Name

First NameLast Name
Witness Signature

Clear
Should be Empty: