Volunteer Application
VOLUNTARY WAIVER AND RELEASE OF LIABILITY
BACKGROUND CHECK AUTHORIZATION
This form is to be read and signed by all persons, or their legal guardians or parents, intending to do volunteer work of any type for
Habitat for Humanity-Spokane.
I, __________________________________________________agree to work as a volunteer for Habitat for Humanity-Spokane. I
understand that permission has been granted to me by the Board of Habitat for Humanity-Spokane to work at the designated work sites.
I understand that all volunteer activities, including volunteer work at Habitat for Humanity-Spokane work sites and other volunteer work
for Habitat, involve risk of harm. I am aware of these risks and knowingly and willingly assume all risks of personal injury and loss of
personal property that may be sustained in connection with these activities.
In consideration of my being permitted to participate in any and all volunteer activities and work for Habitat for Humanity-Spokane, I
hereby waive, release and discharge Habitat for Humanity-Spokane, all members of its Board of Directors, its officers, employees, and
agents, and other volunteers from any and all claims, demands, actions or causes of action of whatever nature which may arise out of
my participation in volunteer activities and work for Habitat for Humanity-Spokane, including, but not limited to, personal injury or
property damage, except due to their negligence.
Infectious Disease: Habitat for Humanity-Spokane is not responsible for any potential exposure to Novel Coronavirus, or COVID-19,
which is not a direct result of negligence on the part of their employees, volunteers, or the organization. I hereby release, indemnify, and
hold harmless Habitat for Humanity-Spokane the organizers, sponsors, agency partners and supervisors of all its activities, from all
liability in connection with any injury. By agreeing, I affirm that I understand the risks involved in volunteering time with Habitat for
Humanity-Spokane and me, myself am not currently experiencing symptoms of illness that may put others at risk.
Photographic Release: I grant and convey unto Habitat all right, title, and interest in any and all photographic images and video or audio
recordings made by Habitat during my volunteer Activities with Habitat, including, but not limited to, any royalties, proceeds, or other
benefits derived from such photographs or recordings.
Drug Policy: I have been advised that Habitat for Humanity-Spokane maintains a DRUG FREE WORK AREA and that no person is
allowed on Habitat property or allowed to work on a Habitat house, work at the Habitat Store, or participate in other Habitat Activities if
he/she/they is under the influence of alcohol and/or drugs. I agree to abide by this drug free policy.
Lastly, I understand that Habitat for Humanity screens all potential volunteers, staff (whether paid or unpaid), board members and
applicant families through Washington State Patrol, federal law enforcement agencies and the national sex offender registry. By
completing this application, I am submitting to such an inquiry. If a background check is deemed necessary, the Volunteer Coordinator at
HFH-Spokane will contact you with the results.
This agreement shall bind me, my heirs, assigns, legal guardians, and personal representatives.
Please sign and return this document along with community service documents issued by agency
requiring your community service if applicable.
Please sign and return to Habitat Office or to your group supervisor for conveyance to Habitat-Spokane.
Visit our web site at www.habitat-spokane.org
Habitat for Humanity-Spokane 1805 E. Trent Ave., PO Box 4130, Spokane, WA 99220 (509) 534-2552
I have read this document, understand its contents and accept the terms of this agreement.
Emergency Contact Information
Youth 16 to 17:
_________________________________________________________ _____________________________
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IGNATURE OF PARENT/GUARDIAN OF PERSON UNDER EIGHTEEN DATE
