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Volunteer Waiver Form

Thank you for volunteering for United Way of South Wood & Adams Counties' Volunteer Center!  To ensure the safety of our volunteers and clients, please fill out this brief form.  If you have any questions, contact Angie Loucks at 715-421-0390 or angie@uwswac.org.  

Please Read:

Waiver of Liability

I understand that I am participating in a volunteer project through United Way of South Wood & Adams Counties.  I understand that, as a volunteer, I may be involved in physical activities that have a potential risk of injury.  I assume that risk.  I agree that I will only perform volunteer activities that I am comfortable doing.  I also agree that I will not hold United Way of South Wood & Adams Counties and all of their former and current officers, directors, shareholders and employees, or any of their community service partners responsible or liable for any damage or injury to me or my property as a result of my participation in the volunteer project.  I agree to be responsible for my behavior and to indemnify and hold harmless the United Way of South Wood & Adams Counties and all of their former and current officers, directors, shareholders and employees, and their community service partners from any damages or liabilities arising out of my activities as a volunteer in connection with the volunteer project.  I hereby do declare myself to be physically sound, having medical approval to participate in the activities of the United Way of United Way of South Wood & Adams Counties.

I give the United Way of South Wood & Adams Counties the right to use my photo in any publication; video, pictorial or slide presentations or display; website or broadcast publication.  It is understood that any and all materials and tape, film, photographic or other products connected herewith, and all rights arising there from and there under, are the exclusive property of United Way of South Wood & Adams Counties.  I further understand that materials may be shared with other United Way offices for promotional purposes.

If you are under the age of 18, please have your guardian agree to this statement.
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