VOLUNTEER RELEASE AND WAIVER OF LIABILITY FORM
PLEASE READ CAREFULLY. THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS
This Release and Waiver of Liability (the “Release”) is executed on this * day of *, 20*. The undersigned hereby agrees to release and forever discharge, and to hold harmless, Kidney Companions, a nonprofit organization existing under the laws of the United States as a Section 501(c) (3) tax exempt corporation, and each of its directors, officers, employees, and agents (collectively referred to as “Kidney Companions” in remaining parts of this document.
1. Waiver and Release: I release, forever discharge, and hold harmless, Kidney Companions 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 my involvement or participation in Kidney Companions activities, services and programs, including claims arising out of negligence. I understand and acknowledge that this Release permanently and irrevocably discharges Kidney Companions from any and all liability or claim that I may have against Kidney Companions with respect to bodily injury, personal injury, illness, death, or property damage that may result from my participation in any with Kidney Companions activities, services and programs.
2. Insurance: I affirm that I am covered by primary auto and medical insurance and understand that I am responsible for any and all deductibles, copays, coinsurance, uninsured, underinsured or other expenses incurred if injury, harm and/or damage occur. Further, I understand that Kidney Companions does not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, dental or mental health care or disability benefits or insurance of any kind in the event of injury, illness, death or damage to myself or my property. I expressly waive any such claim for compensation or liability on the part of Kidney Companions.
3. Assumption of Risk: I understand that the services I or others provide in connection with Kidney Companions may include activities that are inherently dangerous to me including, but not limited to, driving and transporting myself and others. I hereby expressly assume the risk of injury or harm to me from these activities and Release Kidney Companions from any and all liability for injury, illness, death, or property damage resulting from the services I or others provide while I am participating in any event, activity, program or service in connection with Kidney Companions.
4. Medical Treatment: I, hereby release and forever discharge Kidney Companions 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 Kidney Companions. I give my consent for Kidney Companions to provide, administer, or obtain medical treatment for me.
5. Employment Status: I understand and agree that the scope of my relationship with Kidney Companions is limited to a volunteer role and that no compensation is expected in return for the services I provide or participate in. I further understand that Kidney Companions will not provide me with any benefits traditionally associated with employment. I understand that I am solely responsible for providing my own insurance coverage in the event of personal injury, illness, property loss or damage as a result of my participation in activities of Kidney Companions. I understand that Kidney Companions bears no responsibility whatsoever for providing or paying for insurance coverage of any type.
6. Other: I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Michigan and that this Release shall be governed by and interpreted in accordance with the laws of the State of Michigan. I agree that in the event that any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected. Furthermore, I agree and intend this Release to be binding for my heirs, executors, representatives, and agents.
By signing below, I hereby express my complete understanding and intent to enter into this Release and Waiver of Liability knowingly and voluntarily.