Wellness Wears Confidence Waiver and Release Form

Connecting Pieces, Inc. Event Sign-In & Volunteer Waiver Form

Wellness Wears Confidence Fashion Show Charity Event with Connecting Pieces
Thank you for attending and/or volunteering at our event! Please take a moment to complete this form before participating. Your cooperation helps us create a safe and welcoming experience for everyone.
Participant Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Phone Number
For VolunteersFormat: (000) 000-0000.
Guest/AttendeeVolunteer
Wellness Wears Confidence - 6/13/2026
Media Release Agreement

By entering this event space, I acknowledge and agree that my voice, name, image, and/or likeness may be recorded, photographed, or filmed. I grant permission for Connecting Pieces, Inc. and its partners to use this media in any and all formats—including digital, print, and broadcast—without compensation, for promotional, educational, and archival purposes.

This consent allows Connecting Pieces, Inc. to:
✅ Raise awareness about our programs and initiatives.
✅ Secure funding to continue our charitable work.
✅ Showcase community engagement and impact.
I acknowledge and agree to this media release.
Liability Waiver

I understand the inherent risks of participating in this event on the specified date. By signing below, I agree to release, indemnify, and hold harmless Connecting Pieces, Inc., its agents, volunteers, and employees from any claims, liabilities, damages, or expenses arising from any injury, loss, or harm I may experience before, during, or after the event, regardless of cause.
I will seek clarification when neededI am responsible for my own safety and well-beingI will follow all event guidelines, staff instructions, and safety protocolsI acknowledge and accept this liability waiver
By signing below, I confirm that I have read and understood the terms outlined above.

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Connecting Pieces, Inc. Event Sign-In & Volunteer Waiver Form