Fillable Printable Volunteer Waiver and Release of Liability Sample Form

Volunteer Waiver and Release of Liability Sample Form

VOLUNTEER RELEASE AND WAIVER OF LIABILITY FORM

This Release and Waiver of Liability (the “release”) executed on this ______ day of _____________, 2011,

by_________________________________ hereby releases the following Persons and Entities Released

(Name of Volunteer)

and otherwise agrees as follows:

Persons and Entities Released: Enjoy Bellevue, Antique Mall/Ohio River, Klauscher Architects, the Commonwealth

of Pennsylvania, all Committee personnel and all affiliated Sponsors (the participating entities), and all others,

jointly, severally, and individually.

The Volunteer desires to provide volunteer services and engage in activities related to serving as a volunteer for

The First Ever Bellevue Haunted House and Spooktacular Event to be operated by Enjoy Bellevue. A private entity

not affiliated with the Borough of Bellevue, the above named volunteer hereby agrees as follows:

1. WAIVER AND RELEASE: I, the Volunteer, release and forever discharge and hold harmless the above listed

entities from any an all liability, claims, and demands of whatever kind or nature, either in law or in equity, which

arise or may hereafter arise from the services I provide. I understand and acknowledge that this Release

discharges from any liability or claim that I may have with respect to bodily injury, personal injury, illness, death,

or property damage that may result from the services I am providing for The Event.

2. INSURANCE: Further I understand that none of the above participating entities assumes any responsibility for

or obligation to provide me with financial or other assistance, including but not limited to medical, health or

disability benefits or insurance of any nature in the event of my injury, illness, death or damage to my property. I

expressly waive any such claim for compensation or liability on the part of the participating entities.

3. MEDICAL TREATMENT: I hereby Release and forever discharge the participating entities from any claim

whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services

rendered in connection with an emergency during my tenure as a volunteer with the Event.

4. ASSUMPTION OF RISKS: I understand that the services I provide to the Event may include activities that may

be hazardous to me including, but not limited to involving inherently dangerous activities. As a volunteer, I

hereby expressly assume the risk of injury or harm from these activities and Release ALL participating entities

from all liability for injury, illness, death, or property damage resulting from the services I provide as a volunteer

or occurring while I am providing volunteer services for The Event.

5. PHOTOGRAPHIC RELEASE: I grant and convey to the event organizers all right, title, and interests in any and

all photographs, images, video, audio in connection with my providing volunteer services for The Event.

6. OTHER: As a volunteer, I expressly agree that this Release is intended to be as broad and inclusive as

permitted by the laws of the State of Pennsylvania and that this Release shall be governed by and interpreted in

accordance with the laws of the State of Pennsylvania. I agree that in the event that any clause or provision of

this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be

affected.

By signing below, I express my understanding and intent to enter into this Release and Waiver of Liability

willingly and voluntarily.

________________________________ ___________ ______________________

Signature Age Date

If volunteer is under the age of 18, a parent/guardian must read and sign this Release/Waiver of Liability form.

___________________________________ ________________________

Parent or Guardian Date