Thank you for agreeing to volunteer with the Greater Scranton Chamber of Commerce (GSCC) and/or its affiliated organizations, including but not limited to: Scranton Lackawanna Industrial Building Company, MetroAction, Skills in Scranton, Lackawanna Industrial Fund Enterprises, The Scranton Plan and Leadership Lackawanna. During your volunteer activities with GSCC, if serious injury should occur that requires emergency medical assistance, you are required to report the incident to your health insurance provider first. Volunteer accident insurance from Federal Insurance Company (a Division of Chubb) may cover additional medical expenses beyond your own coverage benefits. Volunteer accident insurance will serve as your primary coverage if you do not have health/medical coverage of your own, coverage is limited to $50,000.
I acknowledge that I or my dependent(s) have voluntarily applied to participate with GSCC on any of its projects without pay as a volunteer and agree that we assume the risk of injury or loss of life by participating. I or my dependent(s) understand that I/they am/are voluntarily participating in various individual and group activities related to the mission of the GSCC. These activities include but are not limited to the handling of power tools, climbing ladders, loading and unloading materials, painting and other related activities. This release is intended to be broad in its effect. I hereby agree to accept risk of injury, illness or death and verify this by placing my signature.
As being permitted to participate in these activities, I, on behalf of myself, my heirs, legal guardians, representatives, and dependents, hereby irrevocably and unconditionally waive, release and forever discharge GSCC, its officers, directors, agents, and representatives from any and all claims, demands, causes of action, damages, actions, judgments, liens, losses, costs, attorney’s fees, and legal expenses or liabilities of any nature (including injury to and/or death of the participant), whether negligent or intentional, resulting from participation by me or my dependents in said activities.
I give permission for my name, image, and likeness, as shown in videotapes, photographs, film, electronic images, and/or audio recordings, to be used by Leadership Lackawanna (LL), now and in the future. Further, LL will not request approval or provide notice prior to the use of name, image, or likeness. This permission extends to all LL assignees, successors, and/or partner organizations, and will be used for social media, marketing, and website use. Furthermore, I understand that such photographs, films, recordings, and electronic images and the plates, tapes, and/or software from which they are made shall become the property of LL. I have carefully read this waiver and fully understand its contents. I am aware that this is a legal contract between LL and me that affects my legal rights. I am signing this document of my own free will.
I or my dependent(s) have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and a legal contract between GSCC and me and my dependents that affect my/our legal rights. I am signing this document of my own free will.