Keep Toledo/Lucas County Beautiful, Inc.
Including Assumption of Risks and Agreement of Release and Indemnification
This form must be read, understood, and signed by all Keep Toledo/Lucas County Beautiful Inc. (KT/LCB) Volunteers, adults and minors (persons under the age of 18) and by a parent or guardian (referred to as Parent) for a minor Volunteer. No volunteer may participate in any KT/LCB sponsored Volunteer activities unless these signatures are provided.
Description of Activities: Volunteer activities may include, but are not limited to litter cleanups (including cleanups along waterways and roads/streets), event/parade/festival help, recycling support, and office work. I understand that there may be possible exposure to traffic, deep and swiftly moving water, weeds, debris, sharp objects, and other potentially dangerous items. I also understand that many volunteer activities may expose individuals to manual labor, standing for long periods of time, and exposure to the sun, wind, rain, and other environmental hazards. When needed, Volunteers must wear safety vests, gloves, and sturdy shoes. If a safety orientation is necessary, Volunteers are required to be in attendance. Volunteers may be required to demonstrate required skills taught during the safety orientation, and be able to understand all instruction and risks prior to Volunteering.
Medical Concerns: In most cases volunteer activities can be adjusted to accommodate most all participants. Participants with underlying medical problems that put them at greater risk of injury or illness during an activity must carefully consider those risks before choosing to participate, and if they proceed, they do so at their own risk. KT/LCB reserves the right to exclude any Volunteer from participation, for medical, safety, or other reasons. Participants may notify KT/LCB Staff of a request for accessibility accommodations. Such requests will be considered and may be granted if reasonable and if the accommodation does not in any way compromise safety of any participants or staff.
Inherent and Other Risks: Physical risks would typically range from small scrapes, cuts, bruises, and falls to bites and stings. The risk of more serious injury would be unlikely, but certainly exists. Injuries may be a natural consequence of the volunteer activity being undertaken, as a result of environmental hazards (including terrain and weather), a result of errors in judgment or other negligence of the staff, volunteer, or other individuals. Injuries may occur in spite of the reasonable efforts of the staff to prevent them. In all cases, these inherent risks, and other risks which may not be inherent, whether or not described above must be accepted by those who choose to volunteer.
In consideration of the activity(ies) which I and my family have agreed to participate in, I (we) agree to the following:
I understand the nature of the activities that I will engage in. I understand there are risks of injury associated with these activities. I acknowledge and voluntarily assume the risks associated with these activities, inherent and otherwise, and whether or not described above, including those which may result from the negligent acts or omissions of other volunteers or staff.
I hereby release, indemnify, and hold harmless KT/LCB, its owners, agents, and employees and the owner or owners of the property on which the volunteer activity is conducted. I agree not to sue them for any liability for causes of action, claims and demands of any kind and nature whatsoever that may arise out of or relate in any way to my or my minor child’s participation in volunteer activities.
I accept responsibility for any expenses that may be incurred for any illness or injury that may result from my, or my minor child’s participation in a volunteer opportunity.
In some circumstances a vehicle (either provided for you/or your own) may be used in conjunction with a volunteer project. You understand that KT/LCB will be held harmless of any damage that could occur as well as liability during the project.