NCR Adult Volunteer Release Form

VOLUNTEER RELEASE
I, (first, last) blanks*the undersigned, as a volunteer for Living Classrooms Foundation, Inc., (LCF) understand that I will be exposed to certain risks that, by the nature and location of the activities cannot be controlled. I agree to release and forever discharge LCF, their Officers, Board of Trustees, Employees and Agents, from any and all liability, damages, claims, or causes action, arising out of or in any way connected with my participation in volunteer activities at LCF. I further agree to indemnify and hold forever harmless LCF for liability, damages, claims or causes of action made or brought by me or by anyone on behalf of me as a result of or in any way connected with my volunteer activities at LCF. I acknowledge that LCF reserves the right to video, photograph, or record any volunteer activities associated with LCF.

MEDIA RELEASE
In consideration of my engagement as a subject and other consideration herein acknowledged as already received, and without further consideration or compensation now or in the future, I hereby give Living Classrooms Foundation and its legal representatives and assigns the right and permission to publish images of me and statements by me as captured through photography, videography, audio recording, and written communication while participating in Living Classrooms and affiliate programming and as a program graduate. I further authorize modification of these images and statements for correctness and artistic effect so long as the changes do not result in intentional and harmful misrepresentation.

Without time constraint and without further notification, these images and statements may be used—with or without appropriate identification of me by name, employer, age, and/or affiliation(s) with Living Classrooms Foundation—in any Living Classrooms publication or communication (e.g. web pages, multimedia presentations, television commercials, promotional literature, fundraising collateral materials, advertising, and participant recruitment campaigns) whether print, electronic, or broadcast.

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Volunteer Event (if applicable)

Affiliation (group, school, or business, if applicable)

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact Name*

First NameLast Name

Emergency Contact Phone*

Please enter a valid phone number.

Signature*

NCR Volunteer Release Form