Volunteer Agreement and Liability Release

 

Harvest Pack is continuing to follow CDC-guided best practices for transmission reduction of COVID-19, and is asking that all volunteers agree to the following terms and release Harvest Pack and its partners from any liability associated with transmission of the virus.

I agree to the following terms and conditions while volunteering:

 

Transmission minimization efforts, which include*:

 

  • Face masks for unvaccinated participants over age 2

  • Appropriate distancing between individual volunteers/family units

  • Limited group size, as guided by room size and distancing needs

  • Regular hand washing/sanitation before, during and after volunteer shift

  • Health screening of all volunteers (see below)   

* See www.harvestpack.org/covid for complete details of our safety guidelines

Health Screening – I attest that the following information is true:

  • I am not currently showing signs of the COVID-19 virus (including fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea)

  • I am not awaiting COVID-19 test results and have not received a positive test result in the past 14 days. 

  • I have not been exposed to the virus within the past 10 days (in close contact with anyone who is showing signs of the virus or had a positive test), or I am fully vaccinated (2 weeks past 2nd dose). 

Risk acknowledgement and Release of Liability 

I acknowledge the risks of being exposed to COVID-19 while volunteering with Harvest Pack and its partners, and the ensuing health complications it may cause. I am choosing of my own free will to volunteer with Harvest Pack and its partner agencies. I hereby release and forever discharge Harvest Pack and its representatives, officers, agents, and employees of and from all actions, claims or demands for injuries, damages or loss resulting from my volunteering. I recognize that if I am uncomfortable with any of the conditions of the activity, I am encouraged to excuse myself from volunteering. 

 

Additional Acknowledgements

  • The undersigned volunteer understands that persons who are older than 65 or have any underlying health conditions (such as cancer, heart disease, lung disease, kidney disease, diabetes or an immunocompromised state) are not encouraged to volunteer at this time unless they are fully vaccinated; and volunteer at their own risk.

  • The undersigned volunteer understands that volunteering may involve the use of tools, working inside or outside buildings, working in a variety of weather conditions, standing and walking on uneven terrain, performing work that may be repetitive, or require lifting, sitting, stooping and/or stretching.

  • In connection with the undersigned volunteer’s involvement in activities undertaken for and with the participation and support of Harvest Pack, a non-profit charitable organization, the undersigned volunteer hereby agrees for themselves, their heirs, assigns, employees, volunteers, executors and administrators to release and discharge Harvest Pack, its officers and directors, employees, agents, all partner agencies, and volunteers from all claims, demands and actions for injuries sustained to them, their heirs, assigns, employees, volunteers, executors and administrators as a result of the undersigned volunteer’s involvement in such activities.

  • The undersigned volunteer agrees to release and hold Harvest Pack, its officers and directors, employees, agents, all partner agencies, and volunteers harmless from any cause or action, claim or suit arising there from.

  • The undersigned volunteer hereby attests that his or her attendance and involvement in such activities is voluntary and that they will receive no compensation for the work that is performed; that they are participating at their own risk; and that they have read the foregoing terms and conditions of this release. The undersigned volunteer further agrees that they are solely responsible for any and all causes of action, claims or suit arising from participation in the aforementioned volunteer event, including but not limited to their conduct and/or actions while volunteering.

  • The undersigned volunteer waives his or her right to privacy of the information which has been voluntarily provided in this form, and agrees to the use of their photograph and video for the publicity and public relations purposes of Harvest Pack and its partner agencies.

Harvest Pack does not sell or share your contact information. The above information is collected for internal use only.

Thanks for submitting!