Form Revision 03/2022

LIABILITY RELEASE 
  
THIS IS A FULL RELEASE OF POTENTIAL CLAIMS TO BE COMPLETED BY THE VOLUNTEER. THIS FORM MUST BE SIGNED AND RECEIVED BY HADASSAH’S HOPE BEFORE THE VOLUNTEER’S SERVICE OR USE OF THE HOPE HOUSE. 
 
IN THE EVENT OF AN ACCIDENT INVOLVING AN INJURY, PLEASE REPORT IT PROMPTLY TO HADASSAH’S HOPE. VOLUNTEER HEREBY AGREES, UNDERSTANDS, AND ACKNOWLEDGES THAT HADASSAH’S HOPE DOES NOT CARRY ANY INSURANCE, AND ACKNOWLEDGES THAT HADASSAH’S HOPE HAS ADVISED VOLUNTEER THAT HADASSAH’S HOPE DOES NOT ACCEPT ANY RESPONSIBILITY FOR ANY INJURY, LOSS, OR DAMAGE TO THE VOLUNTEER’S PERSON OR PROPERTY. 
 
VOLUNTEER FURTHER ACKNOWLEDGES THAT HADASSAH’S HOPE HAS RECOMMENDED THAT VOLUNTEER CARRY OR OBTAIN PRIMARY MEDICAL INSURANCE TO COVER POSSIBLE MEDICAL NEEDS. 

MEDICAL RELEASE 
  
AS A VOLUNTEER, I RECOGNIZE THAT THERE ARE CERTAIN RISKS OF PHYSICAL INJURY AND AGREE TO ASSUME SUCH RISK. I FURTHER AGREE TO ASSUME ALL RISK FOR ANY DAMAGE OR LOSS I MAY SUSTAIN AS A RESULT OF UTILIZING THE HOPE HOUSE. 
 
I FURTHER AGREE TO WAIVE AND RELEASE ALL CLAIMS I MAY HAVE AGAINST HADASSAH’S HOPE AND/OR ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, AND OTHER GUESTS. 
  
I HAVE READ AND FULLY UNDERSTAND THE ABOVE WARNINGS OF RISK AND WAIVER AND RELEASE OF ALL THE CLAIMS AGAINST HADASSAH’S HOPE. 

INDEMNIFICATION 
  
THE VOLUNTEER HEREBY AGREES TO INDEMNIFY AND HOLD HARMLESS HADASSAH’S HOPE AND ITS OFFICERS, AGENTS, SERVANTS, AND EMPLOYEES FROM AND AGAINST  ANY AND ALL CLAIMS RESULTING FROM OR IN ANY WAY RELATED TO GUEST’S USE OF THE HOPE HOUSE, INCLUDING INJURIES, DAMAGES, AND LOSSES SUSTAINED BY THE VOLUNTEER. 

REPRESENTATIONS 
  
IN CONSIDERATION OF THE VOLUNTEER USING THE HOPE HOUSE, THE VOLUNTEER HEREBY MAKES THE FOLLOWING REPRESENTATIONS AND UNDERTAKINGS SET OUT BELOW: 
 
I (VOLUNTEER), TO THE MAXIMUM EXTENT PERMITTED BY LAW, ACCEPT AND ASSUME ALL RISKS AND HAZARDS FROM THIS ACTIVITY, BOTH KNOWN AND UNKNOWN, INCLUDING BUT NOT LIMITED TO THE RISKS AND HAZARDS IDENTIFIED ABOVE. 

 
I (VOLUNTEER), TO THE MAXIMUM EXTENT PERMITTED BY LAW, HEREBY RELEASE, FOREVER DISCHARGE, AND AGREE TO HOLD HARMLESS AND INDEMNIFY HADASSAH’S HOPE, ITS DIRECTORS, OFFICERS, AGENTS, EMPLOYEES, COORDINATORS, FACILITATORS, GUESTS, AND OTHER TEAM MEMBERS FROM ANY 
AND ALL LIABILITY, CLAIMS, DEMANDS, ACTIONS OR RIGHTS OF ACTIONS, WHICH ARE RELATED TO, ARISE OUT OF, OR ARE IN ANY WAY CONNECTED WITH MY PARTICIPATION IN THIS ACTIVITY, WHICH I NOW HAVE OR MAY HAVE IN THE FUTURE, SPECIFICALLY INCLUDING, BUT NOT LIMITED TO, THE NEGLIGENT ACTS OR OMISSIONS OF HADASSAH’S HOPE OR ANY PERSON OR ENTITY SO RELEASED, AND SPECIFICALLY INCLUDING CLAIMS RELATING TO ANY PERSONAL INJURY OR 
PROPERTY DAMAGE THAT I MAY SUFFER. 
 
 
I (VOLUNTEER), TO THE MAXIMUM EXTENT PERMITTED BY LAW, HERBY AGREE THAT I WILL NOT MAKE A CLAIM, FILE SUIT, OR DEMAND ANYTHING FROM HADASSAH’S HOPE, ITS DIRECTORS, OFFICERS, AGENTS, EMPLOYEES, COORDINATORS, FACILITATORS, GUESTS, AND OTHER TEAM MEMBERS FOR ANY INJURY, DEATH OR LOSS THAT ARISES FROM MY PARTICIPATION IN THIS ACTIVITY. 

 
I (VOLUNTEER), TO THE MAXIMUM EXTENT PERMITTED BY LAW, HEREBY AGREE TO PAY THE COSTS AND/OR LEGAL EXPENSES INCURRED BY THE STAFF, ORGANIZERS AND/OR PARTICIPANTS AS A RESULT OF ANY CLAIM OR SUIT FILED BY ME OR FILED BY ANYONE ELSE AS A RESULT OF MY CONDUCT. 

 
I (VOLUNTEER), TO THE MAXIMUM EXTENT PERMITTED BY LAW, HEREBY CONSENT AND AGREE TO PAY FOR ANY MEDICAL TREATMENT RENDERED TO ME BY ANYONE FOR ANY INJURY OR OTHER MEDICAL SITUATION DURING OR RESULTING FROM MY 
PARTICIPATION. 

 
I (VOLUNTEER), TO THE MAXIMUM EXTENT PERMITTED BY LAW, HEREBY AGREE THAT THESE PROMISES, AGREEMENTS, ASSUMPTIONS OF RISK AND RELEASES BIND ME, MY FAMILY, AND MY HEIRS OR LEGAL REPRESENTATIVES AND ASSIGNS. 

Confidentiality is of paramount importance in Hadassah’s Hope operations. As a volunteer of Hadassah’s Hope, I understand that I have access to highly sensitive and personal information concerning volunteers, donors, and individuals benefiting from our ministry. Recognizing the gravity of this responsibility, I commit to maintaining a strict code of confidentiality. 

I pledge not to disclose any information pertaining to individuals, churches, or businesses to anyone outside of Hadassah's Hope, including non-administrative volunteers or external parties. Any discussions regarding the information available to me will be limited to leaders and fellow volunteers involved in administrative functions. Should I be entrusted with handling private and confidential information for the Hope Center, I vow to uphold the privacy of the individuals we serve and abide by the guidelines outlined in the Privacy Policy. 

Violation of this policy can severely damage trust between the individuals and entities that support, donate to, and benefit from our ministry. Breaching confidentiality may result in termination of volunteer service with Hadassah’s Hope. 
 
Volunteer Acknowledgment: 

I acknowledge that I have been provided with a copy of Hadassah’s Hope Privacy Policy. 

I understand that it is my responsibility to thoroughly review, comprehend, and adhere to the terms outlined in Hadassah’s Hope Privacy Policy. 

Hadassah’s Hope Inc. Revised 03/2022