Release and Volunteer Waiver of Liability
Thank
your interest in volunteering for Diabetics/Disabled Anonymous Non-Profit
Support Group and Alliance, Inc. We greatly appreciate your assistance
and commitment to helping Diabetics/Disabled Anonymous.
Our
policy requires that we have an accurate record of all volunteers
and liability waivers for all volunteers.
This
is a form where you agree to release Diabetics/Disabled Anonymous
Non-Profit Support Group and Alliance, Inc. of all liability while
volunteering with Diabetics/Disabled Anonymous. This form is in effect
for all time from the signing date, or for one year if the volunteer
specifically requests this limit below.
This Waiver of Liability (the Release) executed on the
date submitted in this online form below (the Volunteer)
in favor of Diabetics/Disabled Anonymous Non-Profit Support Group
and Alliance, Inc. its directors, officers, employees and agents.
The
Volunteer desires to work as a volunteer for Diabetics/Disabled Anonymous
and engage in the activities related to being a volunteer (the Activities).
The Volunteer understands that the Activities may include driving,
attending meetings or getting services or classes.
The Volunteer hereby freely, voluntarily, and without duress executes
this Release under the following terms:
Release and Waiver: Volunteer does hereby release and forever discharge
and hold harmless Diabetics/Disabled Anonymous 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 Volunteers activities with Diabetics/Disabled Anonymous.
Volunteer understands that this Release discharges Diabetics/Disabled
Anonymous from any liability or claim that the Volunteer may have
against Diabetics/Disabled Anonymous with respect to any bodily injury,
personal injury, illness, death or property damage that may result
from the Volunteers Activities with Diabetics/Disabled Anonymous
whether caused by the negligence of Diabetics/Disabled Anonymous or
its officers, directors, employees, or agents or otherwise.
Volunteer also understands that Diabetics/Disabled Anonymous does
not assume any responsibility for or obligation to provide financial
assistance or other assistance, including but not limited to medical,
health, or disability insurance in the event of injury or illness.
Medical
Treatment:
The
Volunteer does hereby release and forever discharge Diabetics/Disabled
Anonymous from any claim whatsoever which arises or may hereafter
arise on account of any first aid, treatment, or service rendered
in connection with the Volunteers Activities with Diabetics/Disabled
Anonymous.
Assumption
of the Risk:
The
Volunteer understands that the Activities includes work that may be
hazardous to the Volunteer, including, but not limited to, loading
and unloading of supplies, transportation to and from classes, work
sites, or meeting sites, or other relevant locations, inclusive neighboring
properties which Volunteer may access during work or other activity
at Diabetic/Disabled Anonymous.
Volunteer
hereby expressly and specifically assumes the risk of injury or harm
in the Activities and releases Diabetic/Disabled Anonymous from all
liability for injury, illness, death, or property damage resulting
from the Activities.
Insurance:
The
Volunteer understands that, except as otherwise agreed to by Diabetics/Disabled
Anonymous in writing; Diabetics/Disabled Anonymous does not carry
or maintain personal injury, health, medical, or disability insurance
for any Volunteer. Each Volunteer is expected and encouraged to obtain
his or her own personal injury, medical or health insurance coverage.
Driving
Waiver:
Volunteer
individually and on behalf of all heirs, successors, assigns and personal
representatives, hereby releases Diabetics/Disabled Anonymous and
its employees, agents, officers and representatives from any and all
liability whatsoever for any and all damages, losses, or injuries
(including death) to persons or property resulting from the use of
Volunteer's personal vehicle while driving on Diabetics/Disabled Anonymous
business or traveling to or from a Diabetics/Disabled Anonymous event
or class.
Volunteer
acknowledges and represents that Volunteer's personal vehicle is adequately
insured and that in the event of an automobile accident; Volunteer's
personal automobile insurance will respond as primary insurance coverage.
Volunteer further acknowledges that Volunteer's personal automobile
insurance will respond to any physical damage (comprehensive and/or
collision) or loss which may occur to Volunteer's vehicle. Volunteer
agrees that Diabetics/Disabled Anonymous will not respond to any claim
for damages to Volunteer's vehicle, whether insured or not insured,
including deductibles.
Other:
Volunteer
expressly agrees that this Release is intended to be as broad and
inclusive as permitted by the laws of the State of Minnesota and that
this Release shall be governed by and interpreted in accordance with
the laws of the State of Minnesota. Volunteer agrees that in the event
that any clause or provision of this Release shall be held to be invalid
by any court of competent jurisdiction, the invalidity of such clause
or provision shall not otherwise affect the remaining provisions of
this Release which shall continue to be enforceable.
By
completing this form do you agree in advance to the above release
and waiver of liability regarding all volunteer work , in all aspects
and respects, done for Diabetics/Disabled Anonymous:
Yes
No
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