Waiver & Release Form - Gems Uncovered, Inc.
Gems Uncovered, Inc. is a registered 501c3 non-profit organization #82-2588652. [Visit us at: www.gemsuncovered.org]
Street Outreach Activity
You agree that by participating in the Gems Uncovered, Inc. Street Outreach, you do so entirely at your own risk. You agree that you are voluntarily participating in this ministry and use of the facilities, personal automobiles, and assume all risks of injury, illness, or death. Gems Uncovered, Inc., Board of Directors are also not responsible for any of the above or for any loss of your personal property.
Acknowledge
You acknowledge that you have carefully read this "waiver and release" and fully understand that it is a release of liability. You expressly agree to release Gems Uncovered, Inc., and their Board of Directors from any and all claims or causes of action and you agree to voluntarily give up or waive any right that you may otherwise have to bring a legal action against the trainer or instructor for personal injury or property damage.
Negligence
To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence.
Note
If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect and the offending provision or provisions severed here from.
Signature
By signing this release, I acknowledge that I understand its content and that this release cannot be modified orally.
Gems Uncovered, Inc. Volunteer Name
*
First Name
Last Name
Today's Date
*
-
Month
-
Day
Year
Date
Volunteer Signature
*
Continue
Continue
Should be Empty: