VOLUNTEER FORMS Liability Waiver Expand Liability Waiver In consideration of being permitted to volunteer at Brookings Backpack Project, I hereby release, waive, discharge, covenant not to sue, and hold harmless Brookings Backpack Project, participants, promoters, advertisers, owners and lessees of premises used to conduct events, and each of them, their directors, officers, agents and contracted individuals, (collectively, the “Releasees”) of and from any and all liability, to the undersigned, my personal representatives, assigns, and heirs, for any and all loss or damage and any claim or demands therefore in account of injury to the person or property arising out of or related to my participation as a Brookings Backpack Project volunteer, whether caused by the negligence of the releasees or otherwise. Name * Name First First Last Last Date * Participants Signature * signature keyboard Clear If the participant is under 18: Name If the participant is under 18: Name First First Last Last Parent/Guardian Signature (if participant is under 18) signature keyboard Clear Captcha Submit If you are human, leave this field blank. Media Release Form Expand Media Release Form I hereby grant Brookings Backpack Project permission to use my likeness in photographs and/or video in any and all of its publications, including Web space, and in any and all other media, whether now known or hereafter existing, controlled by Brookings Backpack Project, in perpetuity, and for other use by the organization. I will make no monetary or other claim against the Brookings Backpack Project for the use of the photographs and/or video. I hereby grant the Brookings Backpack Project the right to video record and/or photograph me and use the clips and/or photographs in promotional purposes. I waive the right to inspect or approve the finished project, including written or electronic copy. Additionally, I waive any rights to compensation arising or related to the use of the videos for educational or promotional purposes. I hereby hold harmless and release the Brookings Backpack Project, the videographer, photographer, their offices, employees, agents, or designees from liability for a violation of any personal or proprietary right I may have in connection with use. Email * Phone * Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Name * Name First First Last Last Signature signature keyboard Clear Date * Captcha Parent/Guardian Signature (if under 18) Parent/Guardian Name Parent/Guardian Name First First Last Last Parent/Guardian Signature signature keyboard Clear Submit If you are human, leave this field blank. Pledge of Confidentiality Expand Pledge of Confidentiality This is to certify that I, Contracted individual for Brookings Backpack Project, understand that any information obtained during the performance of my duties must remain confidential. I understand that any carelessness in handling of this confidential information is considered a breach of the duty to maintain confidentiality. I fully understand that any breach of this duty to maintain confidentiality could be reason for immediate dismissal from the contracted agreement with the program. Name * Name First First Last Last Signature of Contracted Individual * signature keyboard Clear Date * Captcha Submit If you are human, leave this field blank. CLICK HERE TO SEE VOLUNTEER OPPORTUNITIES
