# RELEASE AND WAIVER OF LIABILITY MUST FILL IN DATE

This on\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_by This on\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_by release and Waiver of Liability ( the “Release”) Wyoming Valley Habitat for Humanity, Inc., a nonprofit corporation, their respective directors, officers, employees, and agents ( collectively, “Habitat”)

The Volunteer desires to work as a volunteer for Habitat an engage in the activities related to being a volunteer (the “Activities”). THE Volunteer understands that the Activities may include constructing and rehabilitating residential buildings, working in the Habitat offices, and living in housing provided fo volunteers of Habitat.

The Volunteer hereby, voluntarily, and without duress executes this Release under the following terms:

Release and Waiver. and Waiver. Volunteer does hereby release and forever discharge and hold harmless Habitat and its successors and assigns from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from Volunteer’s Activities with Habitat.

Volunteer understands that this Release discharges Habitat from any liability or claim that the Volunteer may have against Habitat with respect to any bodily injury, personal injury, illness, death, or property damage that may result from Volunteer’s Activities with Habitat, whether caused by the negligence of Habitat or its officers, directors, employees, or agents or otherwise. Volunteer also understands that Habitat does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness.

Medical Treatment. Treatment. Volunteer does hereby release and forever discharge Habitat from any claim whatsoever which arises or may hereafter arise of any first aid, treatment, or service rendered in connection with the Volunteer’s Activities with Habitat.

Assumption of Risk. of Risk. The Volunteer understands that the Activities included work that my be hazardous to the Volunteer, including, but not limited to, construction, loading and unloading, and transportation to and from the work site. Volunteer hereby expressly and specifically assume the risk of injury or harm in the Activities and releases Habitat from all liability for injury, death or property damage resulting from the Activities.

Insurance . . Volunteer understands that except otherwise agreed to by Habitat in writing, Habitat does not carry or maintain health, medical or disability insurance coverage for any Volunteer. Each Volunteers is expected and encouraged to obtain his or her own medical of health insurance coverage. .

Photographic Release. Release. Volunteer does hereby grant and convey unto Habitat all right, title, interest in any and all photographic images and video or audio recordings made by Habitat, including but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.

Other. Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the Commonwealth of Pennsylvania and that this Release shall be governed by and interpreted in accordance with the laws of the Commonwealth of Pennsylvania. Volunteer agrees that in the event that any clause of provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.

Wyoming Valley Habitat for Humanity screens all potential staff, board members, key volunteers, and applicant families through the national sexual offender registry. By submitting this Release and Waiver, you consent to said inquiry.

###### IN WITNESS WHEREOF, Volunteer has executed this Release as of the day and year above written

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##### WITNESS \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ rev11/08