Volunteer Agreement and Liability Release

Due to the state of emergency resulting from the COVID-19 virus, Harvest Pack is asking that all volunteers
agree to the following terms and release Harvest Pack and its partner(s) from any liability associated with transmission of the virus.


I agree to the following terms and conditions while volunteering:

 

Transmission minimization efforts including:

  • Wear a face covering at all times

  • Practice appropriate distancing between volunteers, staff and participants - 6’ minimum.

  • Wash/sanitize hands prior to packaging shift, and regularly re-sanitize during shift, as necessary

  • Temperature check before volunteer shift


Currently showing no signs of the virus

  • I am not currently showing signs of the virus and to my knowledge have not been in direct contact with

someone who is showing signs of the virus within the past 14 days.

  • I do not have a fever and am not coughing or having difficulty breathing.


Risk acknowledgement and Release of Liability
I acknowledge the risks of being exposed to COVID-19 while volunteering with Harvest Pack and its partner(s), 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 partner(s), its representatives, officers, agents, and employees of and from all actions, claims or demands for injuries, damages or loss resulting from my volunteering.

Additional Acknowledgements

  • The undersigned volunteer understands that persons who are older than 60 or have underlying health conditions of heart disease, lung disease, kidney disease or diabetes are not encouraged to volunteer at this time, 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.

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© 2020 Harvest Pack. All Rights Reserved.

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