PRINT, COMPLETE, SIGN AND MAIL TO:
Roane County HFH
PO Box 1124
Kingston, TN  37763
(865) 376-5770

Release and Waiver of Liability

Please read carefully!  This is a legal document that affects your legal rights.

This Release and Waiver of Liability (the “Release”) is executed on this _____ day of _______________(month), _________(year),  by  ______________________________ (“the volunteer”) in favor of Roane Co. Habitat for Humanity, a Tennessee non-profit corporation, their directors,  officers, employees and agents (collectively “Habitat”).

The Volunteer desires to work as a volunteer for Habitat and engage in the activities related to being a volunteer.  These activities may include constructing and refurbishing residential buildings, working in the Habitat office or working within the committee and assisting in fundraising activities.

The volunteer does hereby freely, voluntarily and without duress execute this Release under the following terms:

1.                   WAIVER & RELEASE:   Volunteer does hereby release and forever discharge and hold harmless Habitat and its successors and assigns from any and all liability, claims and demands of any kind or nature, either in law or equity, which arise or may arise later from Volunteer’s Activities with Habitat.

Volunteer understands and acknowledges that this release discharges Habitat from any liability or claim that the Volunteer may have against Habitat with respect to any bodily injury, personal injury, illness, death or property damage that may result from Volunteer’s Activities with Habitat, whether caused by the  negligence of Habitat or its officers, directors, employees, or agents or otherwise. Volunteer also understands that, except as otherwise agreed to by Habitat in writing, Habitat does not assume any responsibility for or obligation to provide financial or other assistance, including but not limited to medical, health or disability insurance, in the event of injury or illness.

2.                   MEDICAL TREATMENT:             Except as otherwise agreed to by Habitat in writing, Volunteer does hereby release and forever discharge Habitat from any claim that arises or may arise later on account of any first aid, treatment or service rendered in connection with the Volunteer’s Activities with Habitat.

3.                   ASSUMPTION OF RISK:             The volunteer understands that the work for Habitat may be hazardous to the Volunteer, including, but not limited to, construction, loading and unloading and transportation to and from the work sites.  Volunteer hereby expressly and specifically assumes the risk of injury or harm in these activities and releases Habitat from all liability for injury, illness, death or property damage resulting from the activities of the Volunteer’s work for Habitat.

4.                   INSURANCE:      The Volunteer understands that, except as otherwise agreed to by Habitat in writing, Habitat 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.

5.                   PHOTOGRAPHIC RELEASE:     Volunteer does hereby grant and convey unto Habitat all rights, title and interest in any photographic images and video or audio recordings made by Habitat during the Volunteer’s Activities with Habitat, including, but not limited to, any royalties, proceeds or other benefits derived from such photographs or recordings

6.                   OTHER:                Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Tennessee.  Volunteer agrees that in the event that any clause or provision of this Release shall be held invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.

The Volunteer has executed this Release as of the day and year first above written.

Printed Name of Volunteer: _______________________________________________

Signature of Volunteer: ___________________________________________________ 

Signature of Parent or Guardian: ___________________________________________

Volunteer’s Address:                 ____________________________________________________

City:  ______________________________  State: ______     Zip: ___________________

Phone: (H) ______-______-___________

                (W) ______-______-___________