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 Volunteer San Diego, Attn: Flex
4699 Murphy Canyon Road, San Diego, CA 92123
or fax to 858-492-2016

Thank you for your interest in becoming a volunteer with Volunteer San Diego (VSD). Please read carefully and complete all sections of this waiver. For the agreement below, please check the box next to each statement to confirm that you have read, understood, and agree to the statement.

First Name:________________________  Last Name:_______________________
Email Address: __________________________ Phone Number:_______________
School/Employer:____________________________________________________

I understand that it is my responsibility to sign up online for projects each time that I would like to volunteer. If I do not have internet access, I will call the Project Coordinator at (858) 636-4139 to sign up.

I agree to remove myself from the project at least 24 hours in advance if I will be unable to attend once I have signed up.

I understand that if I do not attend a Volunteer San Diego project I am signed up for and do not remove myself in advance, I will receive notification from Volunteer San Diego acknowledging my absence. This notice will serve as a warning.

I understand that if I am absent 3 times from any Volunteer San Diego projects I am signed up for, my account will be de-activated and I will no longer be able to sign up for projects until I attend another orientation.

I will act and dress responsibly when participating in Volunteer San Diego projects because I am a representative of Volunteer San Diego.

If I have a problem during a project, I will speak to the Team Leader immediately or will contact the Project Coordinator at (858) 636-4139.

I agree to show up on time to my project and stay for the entire time that it is scheduled.

I will only bring a friend or family member to a project if I have contacted the Team Leader, received confirmation from the Team Leader, and ensured that my friend/family member brings a signed copy of this waiver in order to volunteer.

I understand that I must provide my own transportation to and from each Volunteer San Diego project.

I agree to supply my own food and water during a project unless I am told otherwise.

I understand that not abiding by the guidelines above justifies VSD in deactivating my account.

Court Ordered Volunteers:
I agree to notify Volunteer San Diego that I have court ordered community service hours to complete by contacting the Project Coordinator at (858) 636-4139 or  flex@volunteersandiego.org.

I agree to provide Volunteer San Diego with information of my charge/offense and understand that there will be restrictions on the projects I can participate in.

I agree to the above terms and conditions.

Volunteer Applicant Signature: ________________________________ Date:__________


VOLUNTEER SAN DIEGO RELEASE OF LIABILITY

Volunteers under the age of 18 are not allowed to participate in any volunteer activities until a signed Release Waiver has been returned to Volunteer San Diego. Please carefully review and complete the agreement below, ensuring that at least one emergency contact phone number is provided and that the form is signed by a parent or legal guardian. A separate agreement must be completed for each volunteer.

Name of Volunteer:______________________________________________
Date of Birth:______________________________

All volunteers and parents or legal guardians for each minor must read and agree to the following.

I wish to allow myself/son/daughter/child under my legal guardianship (“child”) to volunteer with various community service organizations through Volunteer San Diego. In consideration of Volunteer San Diego providing myself/my child with the opportunity to perform volunteer activities, I hereby agree, for myself, my heirs, assigns, executors, and administrators, to be legally bound hereby and waive, release, and forever discharge Volunteer San Diego and its nonprofit partner agencies, its officers and directors, members, partners, funders, employees, agents, and volunteers (“Releasees”) from any and all liability, causes of action, suits, proceedings, damages, judgments, claims and demands whatsoever arising out of my/my child’s participation as a Volunteer San Diego volunteer or in any Volunteer San Diego related activity.

I am aware and agree that there are inherent risks of injury to myself/ my child, my/my child’s property and third parties arising from volunteer activities typically performed by Volunteer San Diego volunteers, and which may be performed by myself/my child as a Volunteer San Diego volunteer. I hereby give permission for myself/my child to participate in all activities through Volunteer San Diego and expressly and specifically acknowledge that those activities may involve (a) physical activity (including without limitation 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. Notwithstanding the preceding sentence, I willingly and freely assume all such risk and damage to person or property arising there from, whether or not resulting from negligence, and agree to release Volunteer San Diego and its Releasees from any and all liability, actions, causes of action, claims and demands of every kind and nature whatsoever which I now have or which may arise out of or in connection with my/my child’s volunteer services as a Volunteer San Diego volunteer or in any Volunteer San Diego related project or activity.

PHOTO RELEASE

I hereby give my permission to Volunteer San Diego, their Releasees and to the photographer, my free and unlimited consent and permission to publish/broadcast, republish/rebroadcast or exhibit in the furtherance of their work, with or without identification of me or my child by name, any photographs, videos or audios of myself/my child, that have been obtained from my/his/her participation in Volunteer San Diego activities. I furthermore waive any and all claims for any compensation by reason thereof or for damages for reasons thereof.

CONSENT OF TREATMENT

I, the undersigned individual/parent or guardian, hereby consent to and authorize the administration and performance of all needed medicines and surgical treatments, diagnostic and therapeutic procedures, and the administration of any anesthetic which, in the opinion of the attending physician, may be necessary and advisable in the event of any medical emergencies regarding myself/my child. It is understood that efforts shall be made to contact the emergency contact prior to rendering emergency treatment to the patient.

I attest that I am over 18 years of age, and I warrant that I have legal authority to execute this agreement on myself/my child or legal ward’s behalf. I attest that my/my child’s attendance and involvement in such activities is fully voluntary, that I/my child am/is physically fit and prepared for volunteer activities and that I am participating/I am allowing my child to participate at my/his or her own risk. I have read the foregoing Waiver and Release, and I hereby give my express consent to the execution of this release and will not revoke my consent.

Signature of Volunteer: __________________________________________________ Signature of Parent/Guardian (if volunteer is under 18): ___________________________________________________

Printed Name:_____________________________________  Date:_______________ Home Address: ________________________________________________________ City: ___________________________________ State: ________ Zip:_____________


Emergency Contact Information
You must provide at least one emergency contact number with area code: