All Brothers in Christ Adult Volunteer Waiver

ONE PAGE CIVIL RIGHTS FOR VOLUNTEERS

Know your client's civil rights: 
Thank you for your partnership in the fight against hunger. You are making a difference in the lives of those in need in our community who need assistance to keep nourishing food on the table. The Houston Food Bank is grateful that our volunteers serve each client with the dignity they deserve. We are required by the U.S. Department of Agriculture (USDA) to ensure that all agency clients are informed and aware of their civil rights while they are being served. You can be our eyes and ears by helping us identify any instances in which a client is subject to harassment or discrimination. The Houston Food Bank will not tolerate harassment or discrimination by any individual. 
What is discrimination? Discrimination is the practice of unfairly treating a person or group of people differently from other people or groups of people. USDA prohibits discrimination based on these things:
● Race  ● Color  ● National Origin  ● Sex ● Religious Creed ● Disability  ● Age  

● Political Beliefs ● Reprisal or retaliation for prior civil rights activity

USDA Non-Discrimination Statement
Supplemental Nutrition Assistance Program (SNAP) and Food Distribution Program on Indian Reservations (FDPIR) state or local agencies, and their subrecipients, must post the following Nondiscrimination Statement:
In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), religious creed, disability, age, political beliefs, or reprisal or retaliation for prior civil rights activity.
Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the agency (state or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339.
To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/ sites/default/files/documents/ad-3027.pdf, from any USDA office, by calling (833) 620-1071, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to:
mail: Food and Nutrition Service, USDA

1320 Braddock Place, Room 334

Alexandria, VA 22314
fax: (833) 256-1665 or (202) 690-7442
email: FNSCIVILRIGHTSCOMPLAINTS@usda.gov
This institution is an equal opportunity provider.

02/07/2024.

ADULT VOLUNTEER WAIVER

I, on behalf of myself, my personal representatives, assigns, heirs, and next of kin, I hereby agree to indemnify and hold harmless All Brothers In Christ and Houston Scrap Metal, including its employees, volunteers and agents (the Released Parties), from any and all liability, claims, demands, actions or causes of action,  of any nature, arising out of or related to any damage, illness or injury, regardless of severity, resulting from the performance of my assigned duties as a volunteer. I expressly waive any right of action I may have against the Released Parties in consideration of my participation as a volunteer for All Brothers In Christ in Houston Scrap Metal facilities. I acknowledge that I know of no medical reason that would preclude me from serving as a volunteer.

IT IS MY EXPRESS INTENTION, AND THE EXPRESS INTENTION OF THE RELEASED PARTIES, THAT THIS RELEASE PROVIDED FOR IN THIS AGREEMENT RELEASES THE RELEASED PARTIES FROM THE CONSEQUENCES OF THEIR ACTS OR OMISSIONS INCLUDING ACTS OF NEGLIGENCE OR ALLEGED NEGLIGENCE, AND INCLUDING WHERE THE SAME ARE THE CONTRIBUTING CAUSES OF THE CLAIM, TO THE GREATEST EXTENT PERMITTED BY APPLICABLE LAW. ALL BROTHERS IN CHRIST AND HOUSTON SCRAP METAL SHALL NOT BE HELD LIABLE IF I CONTRACT COVID-19 FROM VOLUNTEERING IN ALL BROTHERS IN CHRIST AND HOUSTON SCRAP METAL.

All Brothers in Christ and Houston Scrap Metal also have permission to use my voice, name, likeness, photograph, or videotaped images in publicity about All Brothers in Christ and Houston Scrap Metal’s activities without additional prior notice or permission, as well as without compensation.  

By entering this facility, I acknowledge that my waiver and release of liability is being agreed to by me voluntarily, without coercion, duress, or undue influence, and with full knowledge of its terms and effects.  I certify that I have reached the age of majority and that I have read the above waiver and release of liability and fully understand its contents.

By typing my name below, I acknowledge that I have read and understand the Minor Liability Volunteer Waiver, the One Page Civil Rights for Volunteers document, and the USDA Non-Discrimination Statement.