Community Service Participant Waiver

This waiver and release form must be completed and signed by all participants in the community service program organized by the nonprofit organization.

Full Name Address Phone Number Email Emergency Contact Name Emergency Contact Phone

Waiver & Release

I acknowledge and agree that my participation in this community service event is voluntary. In consideration of being allowed to participate, I hereby release and hold harmless the nonprofit organization, its officers, employees, and agents from any and all liability, claims, and causes of action arising out of or related to any loss, damage, or injury, including death, that may be sustained by me or to any property belonging to me while participating.

I understand and assume the risks associated with the activities involved.

I have read and agree to the terms above.

Participant Signature Date

If Participant is under 18

Parent/Guardian Consent

Parent/Guardian Name

Parent/Guardian Signature Date