Worthwhile Volunteer Release and Waiver of Liability Form Worth It Program The Release and Waiver of Liability (the "Release") executed on (date) by ("Volunteer") releases Worthwhile, a 501(c3) nonprofit corporation organized and existing under the laws of the Commonwealth of Pennsylvania, and each of its directors, officers, employees, and agents. The Volunteer desires to provide volunteer services for Worthwhile Wear and engage in activities related to serving as a volunteer.
I, the Volunteer, understand that the scope of my relationship with Worthwhile is limited to a volunteer position and that no compensation is expected in return for services I provide; that Worthwhile will not provide me with any benefits traditionally associated with employment; and that I am responsible for my own insurance coverage in the event of personal injury or illness as a result of my services to Worthwhile.
1. Waiver and Release: I, the Volunteer, release and forever discharge and hold harmless the Nonprofit 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 the services I provide to Worthwhile. I understand and acknowledge that this release discharges the Nonprofit from any liability or claim that I may have against Worthwhile with respect to bodily injury, personal injury, illness, death, or property damage that may result from the services I provide to Worthwhile or occurring while I am providing volunteer services.
2. Insurance: Further, I understand that Worthwhile does not assume any responsibility for or obligation to provide me with financial or other assistance, including, but not limited to, medical, health, or disability benefits or insurance of any nature in the event of injury, illness, death, or damage to my property. I expressly waive any such claim for compensation or liability on the part of Worthwhile Wear in the event of such injury or medical expenses incurred by me.
3. Medical Treatment: I hereby release and forever discharge Worthwhile from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my tenure as a volunteer with Worthwhile.
4. Assumption of Risk: I understand that the services I provide to Worthwhile may include activities that may be hazardous to me. As a volunteer, I hereby expressly assume the risk of injury or harm from these activities and release Worthwhile Wear from all liability for injury, illness, death, or property damage resulting from the services I provide as a volunteer or occurring while I am providing volunteer services.
5. Photographic and Copyright Release: I grant and convey to Worthwhile all rights, titles, and interests in any and all photographs, images, video, or audio recordings of myself or my likeness or voice made by Worthwhile in connection with the services I provide to Worthwhile. I further grant and convey to Worthwhile all rights, titles, and interests in any and all works, including but not limited to publications, photographs, images, video, and audio recordings taken and/or produced by me in connection with the services I provide to Worthwhile.
6. Confidentiality Policy: I agree that any program content of The Well and Worth It's treatment programs, confidential information regarding The Well and Worth It's participants and their treatment and educational records, work records relating to Worthwhile Thrift, and the like (including but not limited to the location of The Well, case information, and participant records) shall be considered and kept as the private and privileged records of The Well/Worth It/Worthwhile Thrift and will not be divulged to any person, firm, corporation, or any other entity except on the direct authorization of the Executive Director or the Operations Manager of Worthwhile. Further, upon termination of my volunteer position, I agree that I will continue to treat as private and privileged any knowledge concerning the same, and will not release any such information to any persons, firm, corporation, or other entity, either by statement, deposition, or as a witness, except upon direct written authority of the Executive Director or the Operations Manager of Worthwhile. Worthwhile shall be entitled to an injunction by any competent court to enjoin and restrain the unauthorized disclosure of such information.
7. Other: As a volunteer, I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the Commonwealth of Pennsylvania and that this Release shall be governed by and interpreted in accordance with the laws of the Commonwealth of Pennsylvania. I agree that in the event any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected.