ACKNOWLEDGEMENT/ LIABILITY RELEASE

In consideration for my participation as an activity volunteer, for myself and anyone legally acting on my behalf, I hereby release, forever discharge and indemnify (or hold harmless) The Cedars of Marin (Cedars), its officers, directors, participants and employees from any and all claims, liabilities or causes of action, including but without limitation, death, bodily injury, property damage, or any other loss, damage or any inconvenience whatsoever, arising from my participation in this event.

I hereby authorize medical treatment, including but not in limitation to emergency or medical treatment, and assume the responsibility of all medical bills, if any.

Further should it be necessary to return home due to medical reasons, disciplinary action or otherwise, I hereby assume all transportation costs.

In the course of volunteering for Cedars, I understand that I may be dealing with confidential information and I agree to keep that information in the strictest confidence.

I understand that volunteers are not permitted to take photos of the residents/participants.

I also hereby authorize The Cedars of Marin and its agents to use my likeness, voice, and words in television, radio, film, on the Cedars Website, or in any other form or media to promote Cedars and its activities. I waive the right to inspect versions of my image used for publication or the written copy used in connection with the images.

I understand that the relationship between Cedars and its volunteers is an ‘at will’ arrangement, and it may be terminated at any time without cause by either the volunteer or Cedars.

I understand that this document is written to be as broad and inclusive as legally permitted by the State of California.

I agree that if any portion is held invalid or unenforceable, I will continue to be bound by the remaining terms. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assignees.

I have read this document, and I am signing it freely. No other representations concerning the legal effect of this document have been made to me.

I understand that the information I provide in this form may be verified.