- I, as legal parents/guardians of the student volunteer, agree to have them volunteer for Sierra Pregnancy + Health for the 2025 fundraiser and release Sierra Pregnancy and Health, and its vendors, of liability and responsibility for said, student.
- I agree to have access to the below-listed phone number(s) during the hours of the event in case of emergency.
- I agree to be available to pick up my student early in the event they elect not to comply with the above-mentioned “Volunteer Responsibilities” and need to be sent home early.
RELEASE OF LIABILITY FOR A MINOR VOLUNTEER
DISCLAIMER: SIERRA PREGNANCY AND HEALTH IS NOT RESPONSIBLE FOR ANY INJURY (OR LOSS OF PROPERTY) TO ANY PERSON SUFFERED WHILE VOLUNTEERING AT SAID EVENT FOR ANY REASON WHATSOEVER, INCLUDING NEGLIGENCE ON THE PART OF SIERRA PREGNANCY AND HEALTH, ITS BOARD MEMBERS, LEADERSHIP TEAM, VOLUNTEERS, OR AGENTS. PLEASE READ THIS RELEASE CAREFULLY AS IT RELATES TO YOUR LEGAL RIGHTS.
This Waiver and Release of Liability Form must be completed and signed by the parent or guardian of the above student (“STUDENT”) before participation in Sierra Pregnancy + Health's event (“LIGHT AND LIFE GALA”) instructional programs (“PROGRAM”). In consideration for receiving permission to enroll and participate in COOPERATIVE:
I hereby acknowledge that activities at LIGHT AND LIFE GALA involve risk of accidents or personal injuries and agree to release, waive, discharge, and covenant NOT to sue and to hold harmless SIERRA PREGNANCY AND HEALTH, its board members, contractors, volunteers, employees, and agents from any and all claims, actions, and damages for accidents, personal injuries, emotional distress, disabilities or death that STUDENT has or may have sustained as a result of participation in this LIGHT AND LIFE GALA.
I am aware that some volunteer activities at the LIGHT AND LIFE GALA may involve cardiovascular stress and physical contact for the STUDENT. I understand that activities involve certain risks for the STUDENT, including but not limited to, emotional distress, physical injuries (including severe injuries such as serious neck and spinal injuries resulting in complete or partial paralysis, brain damage, serious injury to bones, joints, muscles, and internal organs), or death. I acknowledge that STUDENT is voluntarily participating in the classes and activities with knowledge of the danger involved and the STUDENT and I hereby agree to accept any and all inherent risks of emotional distress, personal injury, or death.
The STUDENT and I are fully aware of these risks, and in consideration of the STUDENT’s participation, the STUDENT and I, on behalf of ourselves, our heirs, assigns, executor, administrator, and representatives, hereby release and hold harmless COOPERATIVE, its Board members, teachers, contractors, volunteers, administrative officers, employees and any other associated personnel including owners or landlords, from any and all liability, loss, damage, costs, claims and/or causes of action, including but not limited to all bodily injuries, death, and property damage arising out of or relating to my attending and participating in the activities of volunteering at the LIGHT AND LIFE GALA.
I authorize SIERRA PREGNANCY AND HEALTH and its agents to seek emergency medical treatment for STUDENT at an available medical facility at my expense.
I agree to take full financial responsibility for any damage to facilities or equipment caused by STUDENT or myself.
I understand that this waiver is intended to be as broad and inclusive as permitted by the laws of California and agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. I further agree that this agreement shall be governed by the laws of California.
I affirm that I am the parent or legal guardian of the STUDENT and I am freely signing this agreement on behalf of the STUDENT and myself. I have read this form and fully understand that by electronically signing this form I am agreeing that the STUDENT and I will abide by all rules and guidelines set forth by SIERRA PREGNANCY AND HEALTH. I further understand that by signing this form, the STUDENT and I are giving up legal rights and/or remedies, which may be available to us against SIERRA PREGNANCY AND HEALTH, its employees, board of directors, agents, or any of the parties listed above.
I understand while participating in this activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns.
The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.