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Volunteer Waiver and Opportunities

- Parish Ministries

volunteering for an event?

If you are volunteering for a special event (Day of Service, Festival, Lawn Sale, etc.) or if the ministry you participate in uses machinery (ie. Lawn Mowing Ministry), please fill out the waiver form below.
Waiver of Liability, Assumption of Risk and Indemnity Agreement
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- For ("Event" Name or Description) REQUIRED Please fill out this field. Please enter valid data.
- Year/Date(s) of Event REQUIRED Please fill out this field. Please enter valid data.
- Waiver: In consideration of being permitted to participate in the Event, I, for myself, my heirs, personal representatives and assigns, do hereby release, waive, discharge, and covenant not to sue St. Benedict Parish or the Diocese of Rochester, its officers, employees, agents, persons acting with its authority and permission, and Event organizer(s) (collectively "Releasees") from any and all liability, losses, damages, and claims, including by not limited to liability, losses, damages and claims arising from the negligence of Releasees, for my personal injury, disability, or illness (including death), and property loss, or actions of any kind which may hereafter occur related to my participation in, and travel to and from, the Event.
- Waiver - initial here to acknowledge that you have read and understand this section. (If participant is a minor, a parent or legal guardian must initial.) REQUIRED Please fill out this field. Please enter valid data.
- Assumption of Risk: I acknowledge that my participation in the Event is voluntary and carries with it certain inherent risk that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another. Risks may include but are not limited to: (1) minor injuries such as scratches, bruises, and sprains; (2) major injuries such as eye injury or loss of sight, joint or back injuries, broken bones, heart attacks and concussions; and (3) catastrophic injuries including paralysis and death.
  
  I have carefully read the previous paragraphs and I know, understand and appreciate these and other risks that are inherent in the Event. I hereby assert that my participation is voluntary and that I knowingly assume all such risks.
- Assumption of Risk - initial here to acknowledge that you have read and understand this section. (If participant is a minor, a parent or legal guardian must initial.) REQUIRED Please fill out this field. Please enter valid data.
- Indemnification and Hold Harmless: To the fullest extent permitted by law, I also agree to IDEMNIFY AND HOLD HARMLESS St. Benedict Parish and the Diocese of Rochester, its officers, employees, agents, persons acting with its authority and permission, and Event organizer(s) from any and all claims, actions, suits, procedures, costs, expenses, damages, and liabilities, including attorney's fees, brought as a result of my involvement in the Event.
- Indemnification and Hold Harmless - initial here to acknowledge that you have read and understand this section. (If participant is a minor, a parent or legal guardian must initial.) REQUIRED Please fill out this field. Please enter valid data.
- Severability: The undersigned further expressly agrees that the foregoing waiver and assumption of risk agreement is intended to be as broad and inclusive as is permitted by the laws of the State of New York and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
- Severability - initial here to acknowledge that you have read and understand this section. (If participant is a minor, a parent or legal guardian must initial.) REQUIRED Please fill out this field. Please enter valid data.
- Acknowledgement of Understanding: I have read this waiver of liability, assumption of risk and indemnity agreement, fully understand its terms, have been given an opportunity to consult with counsel, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily and intended by my typed full name below to be a release of liability to the greatest extent permitted by law.
- Acknowledgement of Understanding - initial here to acknowledge that you have read and understand this section. (If participant is a minor, a parent or legal guardian must initial.) REQUIRED Please fill out this field. Please enter valid data.
- Contact Information and Signature Required
- Date REQUIRED Please fill out this field. Please enter a date.
- Full Name of Participant REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Phone REQUIRED Please fill out this field. Please enter valid data.
- Check if the participant named above is a minor Yes, participant is a minor. (Parent or legal guardian must then complete the fields below or minor will not be permitted to participate in the Event)
- If participant is a minor, please include their birth date here. Please enter valid data.
- Full Name of Parent or Legal Guardian - By including my name below, I am granting permission for the minor child to participate in the Event and agree to all of the terms of the waiver above. Please enter valid data.
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