HandsOn Jacksonville

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Terms and Conditions

Volunteer Release and Confirmation Form

NO ONE WILL BE PERMITTED TO PARTICIPATE IN ANY HANDS ON JACKSONVILLE ACTIVITY WITHOUT A SIGNED RELEASE FORM. 


Volunteer’s Name: 

I, the undersigned, wish to volunteer my services to various community service organizations and projects through HandsOn Jacksonville, Inc.(“HOJ”), a charitable non-profit Florida corporation.  In consideration of HOJ locating, arranging, coordinating and/or making available volunteer opportunities, I acknowledge, understand, and agree to the following:

[1] Description of Activities
I understand that the nature of the volunteer services which are typically performed by HOJ volunteers, and which may be performed by me involve (a) physical activity (including work with heavy tools and materials), (b) contact with unidentified and unfamiliar persons, (c) travel to and from various unspecified locations, and (d) other potential risk of injury.  

[2] Absence of Arrest Record
I acknowledge that HandsOn Jacksonville, Inc., as an organization involved in assisting organizations and associations, may be involved with childcare and other matters involving contact with children.

I confirm that I have never been arrested for any violent crime, crime of a sexual nature, or crime involving a child, including, without limitation: child abuse or neglect, child pornography, child abduction, kidnapping, and rape. Furthermore, I have never been ordered by a court to receive psychiatric or psychological treatment in connection with any such arrest.

[3] Release from Liability
I agree to assume all risk associated with my participation in HOJ and Volunteer Jacksonville, Inc. activities. I release HOJ and Volunteer Jacksonville, Inc. from liability and covenant not to sue for any accident or injury to person or property that I may sustain.  I will only participate in those activities and projects in which I am physically capable of participating without subjecting myself to risk of injury. 


[4] Waiver of Right to Sue
I waive all claims and causes of action, including, without limitation, any cause of action for negligence, against HOJ and Volunteer Jacksonville, Inc., its directors, officers, partners, agents, employees, successors, assigns, licensees, sponsors, donors, representatives, guests and affiliates and other similarly situated persons. 

[5] Agreement to Indemnify
I agree to indemnify and hold harmless HandsOn Jacksonville, Inc., its directors, officers, partners, agents, employees, successors, assigns, licensees, sponsors, donors, representatives, guests and affiliates against any and all liabilities arising out of my intentionally, knowingly, or recklessly harmful action in connection with any HOJ related activity. 

I understand that liabilities may include, without limitation: claims, actions, damages, losses, judgments, fines, deficiencies, injuries, suits and proceedings at law or in equity, costs, or any other expense, fee or charge of any character or nature through all levels of appeal and any amounts paid in settlement of the foregoing which may be imposed upon, incurred, or threatened upon HandsOn Jacksonville, Inc. (or any related party as referenced above) or against any of its property. 

[6] Use of Vehicle
I understand that some HOJ activities my involve use of my personal vehicle. Prior to using my personal vehicle in connection with any HOJ activity, I will ensure that I am properly licensed to drive and am fully insured to the extent required by law.  Furthermore, I will ensure that any vehicle that I use in connection with HOJ activities is fully insured to the extent required by law.

[7] Use of Likeness
I give HOJ, its assigns and/or successors, the right to use my name, photograph, likeness, image, voice, and biography in any media, including publications, advertising, and publicity, in connection with my participation.  I agree that, should HOJ choose to use me in any media, HandsOn Jacksonville, Inc. need not compensate me in any way. 

[8] Application of Authority
I understand that this release and authorization applies to HandsOn Jacksonville, Inc., as well as any successors, licensees, agents, employees, affiliates and assigns.  

[9] Governing Law
I agree that the laws of the State of Florida govern this Release Form. 

I have read the foregoing Release Form, and I give my express consent.  
I will not revoke my consent. 


NAME:							  


Date:

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Volunteer Jacksonville HandsOn Jacksonville, Inc. 6817 Southpoint Pkwy. Suite 1902 Jacksonville, Fl. 32216 PH. 904-332-6767 FX. 904-332-6722	AN AFFILIATE OF