• Volunteer Release Form for Minors

    PARENTAL CONSENT REQUIRED (under the age of 16)
  • I am the parent or legal guardian of the “Minor” above, I hereby consent to and authorize the Minor to act as a volunteer for Hebron Food Pantry. I acknowledge and agree that activities performed by the Minor as a volunteer will be performed strictly on a voluntary basis, without any pay, compensation, or benefits. I agree and understand that the Minor must comply with the rules and regulations established from time to time by Hebron Food Pantry and that failure to do so may result in the Minor’s immediate removal as a volunteer.

    I am aware of the nature of the activities to be performed by the Minor as a volunteer and recognize that in performing volunteer tasks, a risk of harm or injury exists. I agree that all volunteer activities are to be performed by the Minor at the Minor’s risk and I assume full responsibility, therefore. 

    On behalf of myself, the Minor, and our respective heirs and personal representatives, I agree not to hold or attempt to hold Hebron Food Pantry, their population served, volunteers, or staff responsible for any injury or damage sustained or incurred by the Minor, arising out of or in any way connected with the Minor’s activities as a volunteer for Hebron Food Pantry. I hereby release and discharge Hebron Food Pantry, their employees, and their volunteers from any and all claims, demands, causes of action of any nature or cause, for any such injury or damage incurred or suffered by the Minor.

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Office Use Only:

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: