Release and Waiver of Liability - Volunteers
PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR RIGHTS.
This Release and Waiver of Liability (the "Release") is executed on this day of September 23, 2017,
By___________________________________ in favor of The Flash-Glow 5k/1 Mile Walk/Run, its directors, officers, employees, and agents.
The Volunteer desires to work as a volunteer for The Flash-Glow 5k/1 Mile Walk/Run to be held at McWhorter Park on Saturday, September 23, 2017 and to engage in the activities related to being a volunteer.
The Volunteer does hereby freely, voluntarily, and without duress execute this Release under the following terms:
Volunteer understands and acknowledges that this Release discharges The Flash-Glow 5k/1 Mile Walk/Run from any liability or claim that the Volunteer may have against The Flash-Glow 5k/1 Mile Walk/Run with respect to any bodily injury, personal injury, illness, death or property damage that may result from Volunteer's work for City of Longview, whether caused by the negligence of The Flash-Glow 5k/1 Mile Walk/Run or its officers, directors, employees, agents, volunteers, or otherwise. Volunteer also understands that, except as otherwise agreed to by The Flash-Glow 5k/1 Mile Walk/Run in writing, The Flash-Glow 5k/1 Mile Walk/Run does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance, in the event of injury or illness.
in writing; the City of Longview does not carry or maintain health, medical, or disability insurance
coverage for any Volunteer. Each volunteer is expected and encouraged to obtain his or her own medical or health insurance coverage.
rights, title, and interest in any and all photographic images and video or audio recordings made by the City of Longview during the Volunteer's work for the City of Longview, including, but not limited to,
any royalties, proceeds, or other benefits derived from such photographs or recordings.
I certify that this information is true and accurate to the best of my knowledge, and I release and hold harmless the City of Longview for any inaccuracy or misrepresentation.
Signed: ___________________________________Date: _______________
Parent/Guardian Signature (if under 18):