Fa’afetai (Thank you) for volunteering with UTOPIA Washington! We appreciate your time and commitment in helping provide services that are meaningful to our community.
United Territories of Pacific Islanders Alliance (UTOPIA) Washington is a Pacific Islander Transwoman founded and led grassroots coalition of gender diverse individuals working to create a safe, welcoming, supportive and vibrant space for members of our community to address basic needs and build pathways for our LGBTQIA+ prioritizing our Queer Trans Black Indigenous People of Color (QTBIPOC) communities.
The Volunteer wishes to support UTOPIA Washington and engage in activities (the “Activities” related to being a volunteer). The Volunteer understands that the Activities may include but not limited to: participating in special events and fundraisers, participating in litter pickups, loading and unloading heavy items, assisting and interacting with people not known to them including people with unknown behavioral health or housing situations, and exercising personal judgment as to whether and when they feel an action feels safe and comfortable to perform.
The Volunteer hereby freely, voluntarily, and without duress executes this Release under the following terms:
Release and Waiver: Volunteer does hereby release and forever discharge and hold harmless UTOPIA Washington and its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from Volunteer’s Activities with UTOPIA Washington. Volunteer understands that this Release discharges UTOPIA Washington from any liability or claim that the Volunteer may have against UTOPIA Washington with respect to any bodily injury, personal injury, illness, death, or property damage that may result from the Volunteer’s Activities with UTOPIA Washington, whether causes by the negligence of UTOPIA Washington or its officers, directors, employees, or agents or otherwise. Volunteer also understands that UTOPIA Washington does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness.
Medical Treatment: Volunteer does hereby release and forever discharge UTOPIA Washington from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Volunteer’s Activities with UTOPIA Washington.
Assumption of the Risk: The Volunteer understands that the Activities includes work that may be hazardous to the Volunteer, including, but not limited to: participating in litter pickups, loading and unloading heavy items, and assisting and interacting with people not known to them including people with unknown behavioral health or housing situations. Volunteer hereby expressly and specifically assumes the risk of injury or harm in the Activities and releases UTOPIA Washington from all liability for injury, illness, death, or property damage resulting from the Activities.
Insurance: The Volunteer understands that, except as otherwise agreed to by UTOPIA Washington in writing, UTOPIA Washington does not carry or maintain health, medical, or disability insurance for any Volunteer. The UTOPIA Washington insurance policy reimburses a certain amount of emergency medical expenses of volunteers for bodily injury sustained by accident under the conditions specified in the policy. Volunteer affirms they are expected and encouraged to obtain their own medical or health insurance coverage.
Vehicles: Hired or non-owned vehicles are never to be used for emergency medical transportation or emergency medical services; emergency medical transportation must utilize an ambulance or similar service.
Volunteers who drive any vehicle on agency business must receive UTOPIA Washington written approval in advance. Volunteer drivers may need to produce a Driver Abstract check to confirm a safe driving record.
Photographic Release: Volunteer does hereby grant and convey unto UTOPIA Washington all rights, title, and interest in any and all photographic images and video or audio recordings made by UTOPIA Washington during the Volunteer’s Activities with UTOPIA Washington, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.
By signing below, Volunteer gives UTOPIA Washington permission to publish or in any way use photographic images and video in which Volunteer is identifiable for marketing, communication, or public relations, or promotion purposes.
COVID-19: Volunteer acknowledges that UTOPIA Washington is doing what is possible to protect the public and volunteers. To this extent, volunteer agrees to follow Center of Disease Control (CDC), Occupational Safety and Health Act (OSHA) and local health guidelines, policies and procedures for social distancing to reduce the spread of COVID-19. These guidelines are expected to change over time.
Key guideline documents: https://wwwnc.cdc.gov/travel/yellowbook/2024/infections-diseases/covid-19 and https://www.osha.gov/Publications/OSHA3990.pdf
Policies and Procedures: Volunteer agrees to be guided by federal, state, county, city and agency policies and procedures appropriate to their activities. A set of agency procedures will be available on the UTOPIA Washington website and are expected to change over time.
Other: Volunteer expressly agrees that this Release in intended to be as broad and inclusive as permitted by the laws of the State of Washington and that this Release shall be governed by and interpreted in accordance with the laws of the State of Washington. Volunteer agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.
****** If the volunteer is under the age of 18, a parent or legal guardian must also complete a form *******
By Signing, you agree with the Volunteer Liability Waiver and that you have been given an opportunity to read it before asked to sign.