Street Dog Hero

Youth Volunteer Waiver Volunteer Information

Youth Volunteer Waiver/Release  

Liability Release: I, *
Liability Release: I,
Parent/Guardian Name
do hereby give my permission for *
do hereby give my permission for
Youth Name
the minor child, to volunteer for Street Dog Hero (“SDH”). I agree to release, discharge, indemnify, and hold harmless SDH, its officers, directors, and volunteers for any and all claims, demands, losses, costs, liabilities, settlement agreements, damages, expenses and suits at law or in equity to my personal property or the property of my child that arise out of my child volunteering for SDH, its officers, directors or volunteers, or participating in SDH programs. I recognize that in handling animals while performing services for SDH, a risk of injury exists, including but not limited to, personal physical harm. I hereby release, discharge, indemnify and hold harmless SDH, its officers, directors and volunteers for any and all injuries whatsoever that my child may suffer as a result of my child’s volunteer activities with SDH. This includes but is not limited to animal bites, scratches, communicable illnesses or pests contracted from any animal. I also understand that my child may be working with animals belonging to SDH with adult supervision. Because these are street dogs, SDH does not always know their history. Dogs, even under the best of circumstances, may be unpredictable, may bite or scratch, and may transmit zoonotic diseases. I hereby release and discharge SDH and owners of individual animals, from all actions, claims, or demands that we or our heirs, personal representatives, or assigns may have for injuries or property damage resulting from a program of SDH. I give SDH authority to seek emergency medical treatment for my child. I know of no medical or other condition that would prevent my child from participation in activities with SDH. I hereby release, discharge, indemnify and hold harmless SDH, its officers, directors and volunteers for any and all claims, demands, losses, costs, liabilities, settlement agreements, damages, and expenses sustained on premises for SDH and connected with my child’s services to SDH, regardless of whether caused directly or indirectly by any negligence (active or passive) attributable to SDH, its officers, directors, or volunteers. Youth Photograph Release I understand that public relations are an important part of volunteering at SDH. I therefore agree on behalf of myself, my heirs, assignees, guardians, and personal and legal representatives and executors to allow SDH to use any photographs and images taken of my child in the SDH’s public relations efforts and without payment. SDH has permission to use any and all photographs or images of my child and to include his/her name in materials that promote SDH services or SDH programs, or to publicize any event without payment or notification. I understand that all prints and negatives become the sole property of SDH and may be used by SDH without payment or notification. I understand that my child will be participating in activities that could include radio, TV, marketing, or internet coverage. I acknowledge that I have read and fully understand the terms and conditions of the foregoing Youth Volunteer Waiver and Liability Release and, that as the legal parent or guardian, agree and will comply with the same. *
the minor child, to volunteer for Street Dog Hero (“SDH”). I agree to release, discharge, indemnify, and hold harmless SDH, its officers, directors, and volunteers for any and all claims, demands, losses, costs, liabilities, settlement agreements, damages, expenses and suits at law or in equity to my personal property or the property of my child that arise out of my child volunteering for SDH, its officers, directors or volunteers, or participating in SDH programs. I recognize that in handling animals while performing services for SDH, a risk of injury exists, including but not limited to, personal physical harm. I hereby release, discharge, indemnify and hold harmless SDH, its officers, directors and volunteers for any and all injuries whatsoever that my child may suffer as a result of my child’s volunteer activities with SDH. This includes but is not limited to animal bites, scratches, communicable illnesses or pests contracted from any animal. I also understand that my child may be working with animals belonging to SDH with adult supervision. Because these are street dogs, SDH does not always know their history. Dogs, even under the best of circumstances, may be unpredictable, may bite or scratch, and may transmit zoonotic diseases. I hereby release and discharge SDH and owners of individual animals, from all actions, claims, or demands that we or our heirs, personal representatives, or assigns may have for injuries or property damage resulting from a program of SDH. I give SDH authority to seek emergency medical treatment for my child. I know of no medical or other condition that would prevent my child from participation in activities with SDH. I hereby release, discharge, indemnify and hold harmless SDH, its officers, directors and volunteers for any and all claims, demands, losses, costs, liabilities, settlement agreements, damages, and expenses sustained on premises for SDH and connected with my child’s services to SDH, regardless of whether caused directly or indirectly by any negligence (active or passive) attributable to SDH, its officers, directors, or volunteers. Youth Photograph Release I understand that public relations are an important part of volunteering at SDH. I therefore agree on behalf of myself, my heirs, assignees, guardians, and personal and legal representatives and executors to allow SDH to use any photographs and images taken of my child in the SDH’s public relations efforts and without payment. SDH has permission to use any and all photographs or images of my child and to include his/her name in materials that promote SDH services or SDH programs, or to publicize any event without payment or notification. I understand that all prints and negatives become the sole property of SDH and may be used by SDH without payment or notification. I understand that my child will be participating in activities that could include radio, TV, marketing, or internet coverage. I acknowledge that I have read and fully understand the terms and conditions of the foregoing Youth Volunteer Waiver and Liability Release and, that as the legal parent or guardian, agree and will comply with the same.
Parent/Guardian eSignature
Date *
Date
Birth Date of Youth *
Birth Date of Youth
Address *
Address
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone