This agreement is made as of (date below) between the National Kidney Foundation of Arizona and (name below) to work with screenings conducted under the Path to Wellness program.

General Volunteer Roles: Registration, consenting, data entry, guiding participant traffic between testing stations, administering questionnaires, workshop enrollment, insurance consults, clinic appointment schedulers, follow-up calls. Technical Volunteer Roles: Blood pressure, drawing blood, operating point-of-care-testing devices, taking physical measurements, bilingual interpreters, chronic disease educational presentation, doctor or advanced practitioner consults to review test results.

1. The National Kidney Foundation of Arizona (NKF AZ) developed the Path to Wellness (PTW) program for identifying and educating individuals at increased risk of diabetes, cardiovascular disease and/or kidney disease and is available for use only through the auspices of PTW member organizations. 2. The Technical or General Volunteer agrees to implement the PTW program according to the procedures provided by PTW member organizations. 3. The Technical or General Volunteer must work directly with PTW staff in regards to the planning and implementation of any local PTW screening. 4. The PTW program and PTW materials are owned by PTW member organizations and no part of the PTW Program Manual or materials may be duplicated, distributed, or used for any other purposes other than a PTW screening authorized by PTW member organizations. 5. All Technical and General Volunteers working at a PTW screening (i) shall maintain the confidentiality of all information collected relating to participants in the PTW screening ("Participant Information"); (ii) shall not disclose participant information to any third party other than PTW member organizations, including a volunteer participating in a PTW screening who does not need to know the participant information; and (iii) shall not use participant information for any purpose except for those related to the PTW program, participant follow-up, and evaluation. This confidentiality obligation applies even if some or all of the participant information may be available from public sources. 6. The PTW Technical Volunteer represents that he or shea. Is competent to perform tasks associated with blood and urine collection;b. Will observe state laws where a PTW screening is conducted regarding the disposal of bio-hazardous waste;c. Will observe infection control/universal precautions according to the requirements of the Occupational Safety and Health Administration.d. If volunteering in a capacity as a physician, he/she carries professional liability coverage. 7. Technical Volunteer agrees to (a) attend any training required by the PTW member organizations prior to volunteering at any PTW event; (b) follow all instructions on test packages and given by PTW staff when performing PTW screenings; and (c) immediately report to PTW staff any concerns or issues. 8. The Technical Volunteer represents that if exposed to blood borne pathogens or other potentially infectious materials (BBP/OPIMs) during a screening conducted pursuant to the PTW program, s/he will follow the guidelines recommended by The National Institute for Occupational Safety and Health (NIOSH). S/he understands that failure to follow the guidelines below, in the event of a needle stick event, significantly increases chances of infection.

9. If during the event the technical volunteer experiences a needle stick or other sharps injury or is exposed to the blood or other bodily fluid of a patient during the course of work, the following precautions and steps should be taken:a. Wash needle stick cuts with soap and water.b. Flush splashes to the nose, mouth or skin in water.c. Irrigate eyes with clean water, saline or sterile irritants.d. Report the incident to the PTW Clinical Research Coordinator. This report must include documentation of the route(s) of exposure and the circumstances under which the exposure occurred.e. Immediately seek medical attention at the Emergency Room. That medical attention should include a confidential medical exam, as well as post exposure prophylaxis, when medically necessary, as recommended by the U.S. Public Health Service. All expenses and fees incurred at the Emergency Room, clinic, hospital or other medical facility for any medical attention and payment for any medical care is the sole responsibility of the individual(s) involved in the needle stick incident.

11. In consideration of being permitted to volunteer at the PTW, I, on behalf of myself and my heirs, assigns, executors, administrators, next of kin, and personal representatives (collectively, “Related Persons”), hereby acknowledge and agree to the terms and conditions of this Agreement. BBP, OPIMS and COVID-19 (collectively, the “Infections”) can be extremely contagious, and there is an inherent danger and risk of exposure to the Infections at the PTW. Evidence has shown that the Infections can cause serious and potentially life-threatening illness and even death. National Kidney Foundation of Arizona (which includes its directors, officers, employees, volunteers, sponsors, representatives, and affiliates, collectively, “Released Parties”) cannot prevent me from becoming exposed to, contracting, or spreading the Infections while volunteering and participating in the PTW. ASSUMPTION OF RISK: I have read and understood the above warning concerning the Infections and I accept the risk of being exposed to, contracting, and/or spreading the Infections in order to volunteer at PTW. I, on behalf of myself and Related Persons, knowingly, voluntarily, and irrevocably, assume all as risks and dangers of volunteering at PTW, which may include an increased risk of exposure to communicable diseases (including, without limitation, COVID-19), viruses, bacteria or illnesses or the cause thereof, sickness, personal injury, disability, other short-term or long-term health effects, and/or death, which might result from the actions, inactions, or negligence of any of the Released Parties. I hereby accept personal responsibility for my voluntary participation in/at PTW, on behalf of myself and Related Persons, of all responsibility of claims and potential claims relating to the risk and dangers described in this Agreement, notwithstanding any assistance that I may receive during PTW or in the future from a Released Party if I am exposed to an Infection. WAIVER OF LAWSUIT/LIABILITY: I, ON BEHALF OF MYSELF AND RELATED PERSONS, HEREBY KNOWINGLY, VOLUNTARILY, IRREVOCABLY, AND FOREVER RELEASE, WAIVE, AND DISCHARGE (AND COVENANTS NOT TO SUE), EACH OF THE RELEASED PARTIES WITH RESPECT TO ANY AND ALL CLAIMS THAT I AND ANY OF THE RELATED PERSONS MAY HAVE (OR HEREINAFTER ACCRUE) AGAINST ANY OF THE RELEASED PARTIES THAT RELATE TO ANY OF THE RISKS, HAZARDS AND DANGERS DESCRIBED IN THIS AGREEMENT, INCLUDING WITHOUT LIMITATION, ANY AND ALL CLAIMS THAT ARISE OUT OF OR RELATE IN ANY WAY TO (I) MY EXPOSURE TO THE INFECTIONS; (II) RELATED PERSON'S OR RELATED PERSONS' EXPOSURE TO THE INFECTIONS; OR (V) ANY OF THE RISKS IDENTIFIED IN THIS AGREEMENT (COLLECTIVELY, THE "CLAIMS"), IN EACH CASE WHETHER CAUSED BY ANY ACTION, INACTION OR NEGLIGENCE OF ANY RELEASED PARTY OR OTHERWISE, NOTWITHSTANDING ANY ASSISTANCE THAT I MAY RECEIVE DURING PTW OR IN THE FUTURE FROM A RELEASED PARTY IF I AM EXPOSED TO AN INFECTION. 12. This Agreement is governed by and shall be construed under the laws of the State of Arizona applicable to agreements made and performed there without regard to its conflicts of laws principles. This is the whole Agreement between the parties relating to its subject. No amendment to this Agreement is valid unless in writing and signed by all parties bound by this Agreement. I REPRESENT THAT I AM OVER THE AGE OF 18 AND HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS AGREEMENT. I AM AWARE THAT THIS IS AN ASSUMPTION OF RISK AND RELEASE OF LIABILITY AND FREELY, KNOWINGLY, AND VOLUNTARILY SIGN THIS AGREEMENT ON BEHALF OF MYSELF AND, IF APPLICABLE, THE MINOR CHILDREN LISTED HEREIN.

National Kidney Foundation of Arizona promotes safe and welcoming environments for all persons who help to support its mission. It has adopted the following Sexual Harassment Policy for the employees in its workforce and has equally applied it to volunteers who give their time to the organization at various events, locations, and environments. Any volunteer who has experienced sexual harassment in their circumstances as described below is encouraged to follow the procedures set forth in this policy by making a report to the volunteer’s coordinator or the Director of Patient Services, the CEO, or the Chair of the Board. Sexual harassment is a type of harassment and is defined as unwelcome sexual advances, requests for sexual favors, and other verbal or physical conduct/contact of a sexual nature when: 1. Submission to such conduct is made either explicitly or implicitly a term or condition of an individual’s volunteer service; 2. Submission to or rejection of such conduct by an individual is used as the basis for volunteer decisions affecting such individual; or 3. Such conduct has the purpose or effect of substantially interfering with an individual’s volunteer performance or creating any intimidating, hostile, or offensive volunteer environment. Some examples of conduct that can create a hostile volunteering environment include, but are not limited to, unwelcome touching, sexually explicit language, obscene gestures, staring, sexual jokes, display of sexually explicit materials, graphic or suggestive comments about an individual’s body or manner of dress, sexual propositions, and derogatory comments based on gender. Complaint and Investigation Procedure Do not assume the Foundation is aware of your harassment problem. It is your responsibility to bring your complaint or concern to our attention so that we can help resolve it. All individuals are responsible for keeping our program free of harassment. Any individual who experiences or observes conduct which he or she believes constitutes harassment should report this problem via the normal chain of command – to the individual’s immediate supervisor, the Director of Patient Services, the CEO, or the Board Chairperson, depending upon which individual is the source of the perceived harassment. These different means of reporting complaints are provided so that an individual does not have to deal directly with a person whom the individual believes engaged in inappropriate conduct. All complaints will be investigated impartially, promptly, thoroughly and in as confidential manner as possible. Individuals are expected to cooperate in the investigative process. If the Foundation determines that a violation of this policy has occurred, appropriate disciplinary action, up to and including termination of the working relationship, will be taken. The Foundation will not tolerate penalization or retaliation against any individual for reporting any conduct which the person believes constitutes harassment or discrimination, for filing a complaint under this policy or for cooperating in an investigation. Individuals who have been accused of engaging in harassment or discrimination will be advised not to take any retaliation against their accuser, including, without limitation, threats, altercation of terms and conditions of work or exclusion from an activity.