Acknowledgement of Volunteer Relationship of Child / Legal Ward and
Release of Liability and Indemnification
I agree to allow my child/legal ward to donate their services for public service, religious or
humanitarian reasons. I understand that my child/legal wards participation in this volunteer
position is not in exchange for any consideration, including without limitation, pay, medical or
other benefits, or the promise of future employment. I acknowledge that in exchange for my
child’s/legal ward’s service as a volunteer, neither I nor my child/legal ward has been
promised or expect to receive, any payment or other consideration.
I acknowledge and understand that as a Santa Clara University (“University”) volunteer my
child/legal ward is not a University employee. I understand and agree that either the
University, my child/legal ward, or myself may end the volunteer relationship at any time, for
any reason, with or without advance notice.
I hereby certify that my child/legal ward does not suffer from any physical infirmity or chronic
illness which would affect my child’s/legal ward’s ability to safely volunteer at the University.
I also understand that Santa Clara University does not provide health or accident insurance
coverage for any volunteers.
I hereby agree to waive, release and discharge any and all claims for damages, death, illness,
personal injury or property damage which I may have against Santa Clara University, its
Trustees, directors, officers, employees, students and agents as a result of my child/legal
ward’s volunteering at Santa Clara University.
I agree to defend, indemnify, and hold harmless Santa Clara University, its Trustees, directors,
officers, employees, students and agents from any and all liability, as described above, that may
occur as a result of my child’s/ legal ward’s volunteering, but not to the extent that such
liability is due to the sole negligence or willful misconduct of Santa Clara University.
I HAVE READ THIS CONSENT FORM AND UNDERSTAND ITS TERMS. I EXECUTE THIS
CONSENT VOLUNTARILY WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE. BY SIGNING
THIS CONSENT FORM I ATTEST TO THE FACT THAT I AM EIGHTEEN YEARS OF AGES OR
OLDER AND THAT I AM THE LEGAL GAURDIAN OF THE BELOW NAMED VOLUNTEER.
_______________________
Date
_____________________________________________ ______________________________________
Parent/Guardian Name Parent/Guardian Signature
______________________________________________ ______________________________________
Volunteer (please print name) Volunteer’s Signature
________________________________________________ _____________________________________
Received by (Department Representative) Date
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