(All participants must sign a copy of this form before being allowed to participate)

LIABILITY DISCLAIMER: In accordance with the spirit of volunteerism and service, I, the undersigned, assume full and complete responsibility for any injury or accident that may occur to me during my voluntary activities at/with/through the United Way. Therefore, I hereby release, indemnify, and hold harmless the United Way of Buffalo & Erie County, the organizers, the agencies or project sites at which I volunteer and any sponsors and supervisors of all activities from any and all liability in connection with any injury (including any injury caused by negligence), in conjunction with my volunteer activity. I acknowledge that there are certain foreseeable and unforeseeable risks associated with participating in this event, including, but not limited to, illness, traveling to and from the event, and the effects of the weather, all such risks being understood and appreciated by me.

PARENTAL CONSENT/RELEASE:  If the individual is a minor (under 18 years of age), I  am the parent or legal guardian.  I have read this Waiver and Release in its entirety and fully understand the contents.  I certify that I am legally responsible for the participant and agree to adhere to all the terms of this Waiver and Release, individually and on his/her behalf.  I release and agree to indemnify and hold harmless the Releasees from any and all liabilities relative to my minor child's participation in the volunteer activity, even if arising from the negligence of the Releasees, to the fullest extent of the law.

COMMUNICATIONS RELEASE: I hereby assign the rights for video and /or photographic recording(s) made of me (and/or minors I am responsible for) participating in volunteer activity by United Way of Buffalo & Erie County or its agencies. I hereby authorize the editing, duplication, reproduction, copyright, exhibition, broadcast and or nonprofit use and distribution of said recordings for purposes deemed suitable by United Way. I hereby waive any right to approve the finished products.

I certify that I am over eighteen years of age and am competent to enter into this agreement.

I have read the foregoing releases, authorizations, and agreements, before affixing my signature below and warrant that I fully understand their contents.

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  By checking this box, I hereby acknowledge that I have read and agreed to all policies and procedures detailed above.   
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