Summer of Service - Volunteer | United Way of Central Louisiana

Consent Forms

Liability Release *Initial In Box Below*

I hereby release and hold harmless United Way of Central Louisiana, the agency where I volunteer, and sponsors and supervisors of all activities, from any and all liability for any injury I may suffer (including any injury caused by negligence) in conjunction with the volunteer activity. I also certify that I am in good health and able to participate in the program activities. I certify that I am 18 years of age or older and am competent to contract my name as far as the above is concerned. I have read the foregoing release, authorization and agreement, before affixing my initials below and warrant that I fully understand the contents thereof.

Communications Release *Initial In Box Below*

I hereby waive any claim to the rights of photographic recordings made of me during United Way of Central Louisiana's volunteer activity. I hereby authorize the editing, duplication, reproduction, copyright, exhibition, broadcast and/or non-profit use and distribution of said recordings for purposes deemed suitable by United Way of Central Louisiana. I hereby waive any right to approve the finished products. I certify that I am 18 years of age or older and am competent to contract my own name as far as the above is concerned. I have read the foregoing release, authorization and agreement, by accepting I fully understand the contents thereof.

COVID-19 Agreement & Waiver *Initial In Box Below*

I understand that United Way of Central Louisiana is a trusted, community organization committed to serving people in need; therefore, I attest that I am not experiencing any symptoms of illness such as a fever or cough. Furthermore, I aware that I am expected to adhere to the safety and hygiene protocols that have been implemented by United Way of Central Louisiana including but not limited to the following:

• Washing hands frequently with soap and water for at least 20 seconds especially before and after your volunteer shift, blowing your nose, coughing or sneezing.
• If soap and water are not readily available, I agree to use provided hand sanitizer that contains at least 60% alcohol.
• Cover your mouth and nose with a tissue or use the inside of your elbow when you cough or sneeze and to throw used tissues in the trash.
• Waving to friends or acquaintances rather than hugging or hand shaking.

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