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Volunteer Waiver of Liability, Medical, Release and Indemnification Agreement - Great Lakes Boxer Rescue
In consideration for being permitted by Great Lakes Boxer Rescue (GLBR) to participate as a volunteer in various activities, I hereby waive, release, and discharge any and all claims and damages for personal injury, death, or property damage which I may sustain or may which hereafter accrue as a result of my participation as a volunteer and resulting from negligence or misconduct of GLBR. This release is intended to discharge in advance GLBR, its’ Directors, Officers, and/or agents to include their heirs, agents, representatives, successors and assignees from and against any and all liabilities, actions, claims, demands, costs, or expenses arising from or in any way connected with my participation as a volunteer and resulting from the negligence or misconduct of GLBR.I understand that various activities involving dogs and/or puppies can be hazardous in nature involving the possibility of being bitten, scratched, jumped on, dragged or knocked over. The possibility of serious accidents and/or injury can occur during participation in volunteer activities. Knowing the risks involved nevertheless I have voluntarily applied to participate in volunteer activities and I hereby agree to assume all risks of injury, and to release and hold harmless GLBR, its’ Directors, Officers, and/or agents who through negligence or carelessness might otherwise be liable to me. I further agree to indemnify and to hold GLBR, its’ Directors, Officers, and/or agents free and harmless from any loss, liability, damage, cost or expense which they may incur as a result of any injury and/or property damage I may sustain while participating as a volunteer. I agree that all services I provide are charitable in nature and entirely voluntary, and there will be no compensation of any kind for the performance thereof. Further I have been fully advised that as a non-employee I am not covered by worker’s compensation and am not covered under any medical insurance plan associated with my volunteer position with GLBR.
Acknowledgement
I AM AWARE THAT THIS IS AN AGREEMENT BETWEEN MYSELF (AND MY GUARDIAN, if applicable) AND GREAT LAKES BOXER RESCUE. BY SIGNING THIS DOCUMENT, I (and my guardian, if applicabe) AM VERIFYING THAT I HAVE CAREFULLY READ THIS WAIVER OF LIABILITY, MEDICAL RELEASE, PHOTO/VIDEO RELEASE AND INDEMNIFICATION AGREEMENT AND FULLY UNDERSTAND THE CONDITIONS LISTED ABOVE.
For Parents/Guardians of volunteers under the age of 15
I UNDERSTAND THAT I MUST REMAIN ON THE PREMISES TO SUPERVISE THE VOLUNTEER FOR THE DURATION OF THE EVENT.
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Creating an account or logging in via facebook/email will let you save your application, and allow you to access your pets medical records and other important information after you adopt or foster.