Corporate Volunteer Interest Form

PLEASE READ THIS FORM CAREFULLY AND BE AWARE THAT BY SIGNING THIS WAIVER AND RELEASE AND PARTICIPATING IN THE UNITED WAY QUAD CITIES (“UNITED WAY”) EVENT DESCRIBED BELOW (THE “EVENT”), YOU WILL BE EXPRESSLY ASSUMING THE RISK AND LEGAL LIABILITY AND WAIVING AND RELEASING ALL CLAIMS FOR INJURIES, DAMAGES, OR LOSS WHICH YOU MIGHT SUSTAIN AS A RESULT OF ANY AND ALL ACTIVITIES CONNECTED WITH AND ASSOCIATED WITH HOSTING/PARTICIPATING IN THE EVENT.

I, the undersigned Volunteer, do hereby agree to participate/engage in the Event and understand that participation in the Event may involve inherent costs, risks, dangers, and hazards, which may occur without warning, and neither the United Way nor any of the other sponsors can guarantee my personal safety or the safety of any of my property.  BY EXECUTION OF THIS RELEASE, I REPRESENT AND WARRANT THAT I HAVE READ AND UNDERSTAND THIS FORM, AND FREELY ACCEPT AND ASSUME THE RISK THAT MAY BE SUFFERED, INCLUDING, BUT NOT LIMITED TO PROPERTY DAMAGE, PERSONAL INJURY OR EVEN DEATH, AND AGREE TO INCUR ALL COSTS OR EXPENSES ASSOCIATED WITH PARTICIPATING IN THE EVENT, not only in the ways described herein, but also in unknown/unexpected ways.  Neither the United Way, nor any sponsors of the Event, have any control over the Event or any Participant’s satisfaction with the Events.

TO THE FULLEST EXTENT PERMITTED BY LAW, I HEREBY agree to release, indemnify, hold harmless and defend (including costs and attorneys’ fees) the United Way, and/or its employees, agents, directors, officers, volunteers, sponsors, supervisors and/or organizers (collectively known as “members”) from any liability or claim of liability arising from or in connection with any loss, damage, illness, injury or other claim to persons or property arising out of and/or resulting from my participation in the Event,  whether caused by my negligence or misconduct or otherwise.  I agree that this release shall bind my heirs forever, and further understand and acknowledge that neither the United Way, nor any other sponsor of the Event, is an insurer of my personal safety or property.  This agreement to release, indemnify, hold harmless and defend extends to all loss and/or liability on the site whether or not said loss and/or liability occurs while performing any tasks specifically included in the requested projects.

I agree the United Way has my permission to photograph/video myself and/or the activities at the Event and utilize said photographs/videos for any lawful purpose. I also give United Way permission to email me by listing my email address.

THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNED THIS RELEASE AND WAIVER OF LIABILITY, COVENANT NOT TO SUE, AND FURTHER AGREES THAT NO ORAL REPRESENTATIONS, STATEMENT OR INDUCEMENTS APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE.