Photographic/Recording Release. I hereby grant and convey unto the Released Parties all right, title, and interest in any and all photographs and video/audio/electronic recordings of me, including as to my name, image and voice, made by or on behalf of any of the Released Parties during my Activities with the Released Parties, including, but not limited to, the right to use such materials for any purpose and to any royalties, proceeds or other benefits derived from them. I understand that I will not have any ownership, interest in, or to such photographs, images and/or recordings, I have not been provided or promised any compensation to me, and I hereby waive any rights, privileges or claims based on any right of publicity, privacy, ownership or any other rights arising, relating to or resulting from the photographs, images and/or recordings. I understand and agree that this paragraph also applies to my minor child(ren) who are volunteering. Other: I expressly agree that this Release is intended to be as broad and inclusive as permitted by state law. I further agree that in the event any clause or provision of this Release is held invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining clauses or provisions of this Release, which shall continue to be enforceable. Further, a waiver of a right under this Release by a Released Party does not prevent the exercise of any other right. Volunteer Information: Name: Date of Birth: Address: City: State: Zip: Phone: Email: Emergency Contact Name: Relationship: Address: City: State: Zip: Phone: I have carefully considered my decision, the benefits, and risks involved and hereby give my informed consent to participate in all volunteer Activities. I have read and understand this Agreement, Release, and Waiver of Liability, any questions of mine have been answered, and I voluntarily agree to the above provisions. It is my intent to bind my heirs, next of kin, assigns, and legal representative. Signature: Date: For Volunteers under 18 years of age: All parents and/or legal guardians must complete both sections below. If only one parent or guardian signs these forms on behalf of a Volunteer who is under 18 years of age, then the undersigned parent or guardian of the Volunteer hereby covenants, warrants, represents, and agrees that (s)he is executing these forms on behalf of, and as an agent for, any other parent or guardian of the Volunteer, that (s)he is fully authorized to do so, and that by executing such Release and Parental Authorization, the undersigned is binding himself/herself, the Volunteer, and any other parent or guardian of the Volunteer, and all of their heirs, next of kin, assigns, and legal representatives to such Release and Parental Authorization.
Appears in 2 contracts
Samples: Volunteer Agreement, Volunteer Agreement
Photographic/Recording Release. I hereby grant and convey unto the Released Parties Habitat for Humanity of Angelina County, Inc. all right, title, title and interest in any and all photographs and video/audio/electronic recordings of me, including as to my name, image and voice, made by or on behalf of any of the Released Parties Parries during my Activities Activites with the Released Parties, including, but not limited to, the right to use such materials for any purpose and to any royalties, proceeds or other benefits benefit s derived from them. I 1 understand that I will not have any ownership, ownership interest in, in or to such photographs, images and/or recordings, . I have have' not been provided or promised any compensation to me, and I hereby waive any rights, privileges or claims based on any right of publicity, privacy, ownership or any other rights arising, relating to or resulting from the photographs, images and/or recordings. I 1 understand and agree that this paragraph also applies to my minor child(ren) who are volunteering. Other: . I expressly agree that this Release is intended to be as broad and inclusive as permitted by state law. I further agree that in the event any clause or provision of this Release is held invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining clauses or provisions of this Release, which shall continue to be enforceable. Further, a waiver of a right under this Release by a Released Party does not prevent the exercise of any other right. Volunteer Information: Name: Date of Birth: Address: City: State: Zip: Phone: Email: Emergency Contact Name: Relationship: Address: City: State: Zip: Phone: I have carefully considered my decision, the benefits, benefits and risks involved and hereby give my informed consent to participate in all volunteer Activities. I have read and understand this Agreement, Release, Release and Waiver of Liability, any questions of mine have been answered, and I l voluntarily agree to the above provisions. It is my intent to bind my heirs, next of kin, assigns, assigns and legal representative. SIGNATURE OF VOLUNTEER 18 YEARS OR OLDER: __ Volunteer: Name (please print): _ Signature: Date_ Address: For Volunteers under City: State: Zip Code: Phone: (H) (C) Date of Birth: E-mail: _ Witness: Name (please print): Signature: EMERGENCY CONTACT INFORMATION FOR VOLUNTEER OVER 18 years of ageYEARS OF AGE: All parents and/or legal guardians must complete both sections below. If only one parent or guardian signs these forms on behalf of a Volunteer who is under 18 years of age, then the undersigned parent or guardian of the Volunteer hereby covenants, warrants, represents, and agrees that _________ Name:_______ ____ Relationship: _ City: _____________ ____________ State: Zip Code: _ Address: _ Email: Phone: (s)he is executing these forms on behalf of, and as an agent for, any other parent or guardian of the Volunteer, that H) _ (s)he is fully authorized to do so, and that by executing such Release and Parental Authorization, the undersigned is binding himself/herself, the Volunteer, and any other parent or guardian of the Volunteer, and all of their heirs, next of kin, assigns, and legal representatives to such Release and Parental Authorization.C) __ _ ___ ___ ___ (W)_____ ___________ ___ ________
Appears in 1 contract
Samples: Volunteer Agreement
Photographic/Recording Release. I hereby grant and convey unto the Released Parties all right, title, title and interest in any and all photographs and video/audio/electronic recordings of me, including as to my name, image and voice, made by or on behalf of any of the Released Parties during my Activities with the Released Parties, including, but not limited to, the right to use such materials for any purpose and to any royalties, proceeds or other benefits derived from them. I understand that I will not have any ownership, ownership interest in, in or to such photographs, images and/or recordings, I have not been provided or promised any compensation to me, and I hereby waive any rights, privileges or claims based on any right of publicity, privacy, ownership or any other rights arising, relating to or resulting from the photographs, images and/or recordings. I understand and agree that this paragraph also applies to my minor child(ren) who are volunteering. Other: . I expressly agree that this Release is intended to be as broad and inclusive as permitted by state law. I further agree that in the event any clause or provision of this Release is held invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect affect the remaining clauses or provisions of this Release, which shall continue to be enforceable. Further, a waiver of a right under this Release by a Released Party does not prevent the exercise of any other right. Volunteer Information: Name: Date of Birth: Address: City: State: Zip: Phone: Email: Emergency Contact Name: Relationship: Address: City: State: Zip: Phone: I have carefully considered my decision, the benefits, benefits and risks involved involved, and hereby give my informed consent to participate in all volunteer Activities. I have read and understand this Agreement, Release, Release and Waiver of Liability, I acknowledge that any questions of mine have been answered, and I voluntarily agree to the above provisions. It is my intent to bind my heirs, next of kin, assigns, assigns and legal representative. SIGNATURE OF VOLUNTEER 18 YEARS OR OLDER: Volunteer: Name (please print): Signature: DateAddress: Phone: (H) (C) Email: Date of Birth: Witness: Name (please print): Signature: EMERGENCY CONTACT INFORMATION (For Volunteers under over the age of 18): Name : Relationship: Address: Phone: (H) (C) (W) Email: =========For Volunteers less than 18 years of age====================== IMPORTANT: If the Volunteer is less than 18 years of age: All , all parents and/or legal or guardians must complete both sections the signature section below. If only one parent or guardian signs these forms on behalf of a Volunteer who is under 18 years of age, then the undersigned parent or guardian of the Volunteer hereby covenants, warrants, represents, represents and agrees that (s)he he or she is executing these forms on behalf of, and as an agent for, any other individual who may be a parent or guardian of the Volunteer, that (s)he he/she is fully authorized to do so, and that by executing such Release and Parental Authorization, the undersigned is binding himself/herself, the Volunteer, and any other parent or guardian of the Volunteer, and all of their heirs, next of kin, assigns, and legal representatives to such Release and Parental Authorization.. Name of Volunteer Under 18 Years Old: Name: Date of Birth: SIGNATURE OF PARENT/GUARDIAN SIGNING ON BEHALF OF THE ABOVE MINOR: I have carefully considered my decision, the benefits and risks involved and hereby give my informed consent, on behalf of the above listed minor child, for him/her to participate in all Activities as set forth in the above Volunteer Agreement, Release and Waiver of Liability, and such terms are incorporated herein. I have read and understand the above Volunteer Agreement, Release and Waiver of Liability, any questions of mine have been answered, and I voluntarily agree to all such provisions. It is my intent to bind my and the minor Volunteer's heirs, next of kin, assigns, and legal representatives. Furthermore, I understand that the above Volunteer Agreement, Release and Waiver of Liability is made on behalf of my minor child(ren) and/or legal wards and I represent and warrant to Habitat for Humanity International, Inc. or its affiliated organizations that I have the full authority to sign this on behalf of such minor(s). Parent/Guardian (please print): Signature: Address: Phone: (H) (C) Email: Witness: Name (please print): Signature: EMERGENCY CONTACT INFORMATION (For Volunteers under the age of 18): Name : Relationship: Address: Phone: (H) (C) (W) Email: This Volunteer Agreement, Release and Waiver of Liability has been Approved and Adopted by the Habitat for Humanity of Xxxxxx County Board of Directors
Appears in 1 contract
Samples: Volunteer Agreement
Photographic/Recording Release. I hereby grant and convey unto the Released Parties all right, title, title and interest in any and all photographs and video/audio/electronic recordings of me, including as to my name, image and voice, made by or on behalf of any of the Released Parties during my Activities with the Released Parties, including, but not limited to, the right to use such materials for any purpose and to any royalties, proceeds or other benefits derived from them. I understand that I will not have any ownership, ownership interest in, in or to such photographs, images and/or recordings, I have not been provided or promised any compensation to me, and I hereby waive any rights, privileges or claims based on any right of publicity, privacy, ownership or any other rights arising, relating to or resulting from the photographs, images and/or recordings. I understand and agree that this paragraph also applies to my minor child(ren) and/or wards who are volunteering. Other: . I expressly agree that this Release is intended to be as broad and inclusive as permitted by state lawlaws of the State of California in the United States of America. I further agree that in the event any clause or provision of this Release is held invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining clauses or provisions of this Release, which shall continue to be enforceable. Further, a waiver of a right under this Release by a Released Party does not prevent the exercise of any other right. Volunteer Information: Name: Date of Birth: Address: City: State: Zip: Phone: Email: Emergency Contact Name: Relationship: Address: City: State: Zip: Phone: I have carefully considered my decision, the benefits, benefits and risks involved involved, and hereby give my informed consent to participate in all volunteer Activities. I have read and understand this Agreement, Release, Release and Waiver of Liability, I acknowledge that any questions of mine have been answered, and I voluntarily agree to the above provisions. It is my intent to bind my heirs, next of kin, assigns, assigns and legal representative. SignatureMINOR VOLUNTEER (LESS THAN 18 YEARS OF AGE): IMPORTANT: Date: For Volunteers under If the Volunteer is less than 18 years of age: All , all parents and/or legal or guardians must complete both sections the signature section below. If only one parent or guardian signs these forms on behalf of a Volunteer who is under 18 years of age, then the undersigned parent or guardian of the Volunteer hereby covenants, warrants, represents, represents and agrees that (s)he he or she is executing these forms on behalf of, and as an agent for, any other individual who may be a parent or guardian of the Volunteer, that (s)he he/she is fully authorized to do so, and that by executing such Release and Parental Authorization, the undersigned is binding himself/herself, the Volunteer, and any other parent or guardian of the Volunteer, and all of their heirs, next of kin, assigns, and legal representatives to such Release and Parental Authorization.. NAME OF VOLUNTEER UNDER 18 YEARS OLD: Name: Date of Birth: SIGNATURE OF PARENT / GUARDIAN SIGNING ON BEHALF OF THE ABOVE MINOR: I have carefully considered my decision, the benefits and risks involved and hereby give my informed consent, on behalf of the above listed minor child, for him/her to participate in all Activities as set forth in the above Volunteer Agreement, Release and Waiver of Liability, and such terms are incorporated herein. I have read and understand the above Volunteer Agreement, Release and Waiver of Liability, any questions of mine have been answered, and I voluntarily agree to all such provisions. It is my intent to bind my and the minor Volunteer's heirs, next of kin, assigns, and legal representatives. Furthermore, I understand that the above Volunteer Agreement, Release and Waiver of Liability is made on behalf of my minor child(ren) and/or legal wards and I represent and warrant to Habitat for Humanity International, Inc. or its affiliated organizations that I have the full authority to sign this on behalf of such minor(s). Parent / Guardian Name (please print): Parent / Guardian Signature: Street Address: City: Zip: Phone: (C/W) (H) Email Address: Witness Name (please print): Witness Signature: Parent / Guardian Name (please print): Parent / Guardian Signature: Street Address: City: Zip: Phone: (C/W) (H) Email Address: Witness Name (please print): Witness Signature: EMERGENCY CONTACT INFORMATION FOR THE ABOVE LISTED MINOR VOLUNTEER: Name: Relationship: Street Address: City: Zip: Phone: (C/W) (H)
Appears in 1 contract
Samples: Volunteer Agreement
Photographic/Recording Release. I hereby grant and convey unto the Released Parties all right, title, title and interest in any and all photographs and video/audio/electronic recordings of me, including as to my name, image and voice, made by or on behalf of any of the Released Parties during my Activities with the Released Parties, including, but not limited to, the right to use such materials for any purpose and to any royalties, proceeds or other benefits derived from them. I understand that I will not have any ownership, ownership interest in, in or to such photographs, images and/or recordings, I have not been provided or promised any compensation to me, and I hereby waive any rights, privileges or claims based on any right of publicity, privacy, ownership or any other rights arising, relating to or resulting from the photographs, images and/or recordings. I understand and agree that this paragraph also applies to my minor child(ren) who are volunteering. Other: . I expressly agree that this Release is intended to be as broad and inclusive as permitted by state law. I further agree that in the event any clause or provision of this Release is held invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining clauses or provisions of this Release, which shall continue to be enforceable. Further, a waiver of a right under this Release by a Released Party does not prevent the exercise of any other right. Volunteer Information: Name: Date of Birth: Address: City: State: Zip: Phone: Email: Emergency Contact Name: Relationship: Address: City: State: Zip: Phone: I have carefully considered my decision, the benefits, benefits and risks involved involved, and hereby give my informed consent to participate in all volunteer Activities. I have read and understand this Agreement, Release, Release and Waiver of Liability, I acknowledge that any questions of mine have been answered, and I voluntarily agree to the above provisions. It is my intent to bind my heirs, next of kin, assigns, assigns and legal representative. SIGNATURE OF VOLUNTEER 18 YEARS OR OLDER: Volunteer: Name (please print): Signature: DateAddress: For Volunteers under Phone: (H) (C) Email: Date of Birth: Witness: Name (please print): Signature: EMERGENCY CONTACT INFORMATION FOR VOLUNTEER OVER 18 YEARS OF AGE: Name : Relationship: Address: Phone: (H) (C) (W) Email: IMPORTANT: If the Volunteer is less than 18 years of age: All , all parents and/or legal or guardians must complete both sections the signature section below. If only one parent or guardian signs these forms on behalf of a Volunteer who is under 18 years of age, then the undersigned parent or guardian of the Volunteer hereby covenants, warrants, represents, represents and agrees that (s)he he or she is executing these forms on behalf of, and as an agent for, any other individual who may be a parent or guardian of the Volunteer, that (s)he he/she is fully authorized to do so, and that by executing such Release and Parental Authorization, the undersigned is binding himself/herself, the Volunteer, and any other parent or guardian of the Volunteer, and all of their heirs, next of kin, assigns, and legal representatives to such Release and Parental Authorization.. Name of Volunteer Under 18 Years Old: Name: Date of Birth: SIGNATURE OF PARENT/GUARDIAN SIGNING ON BEHALF OF THE ABOVE MINOR: I have carefully considered my decision, the benefits and risks involved and hereby give my informed consent, on behalf of the above listed minor child, for him/her to participate in all Activities as set forth in the above Volunteer Agreement, Release and Waiver of Liability, and such terms are incorporated herein. I have read and understand the above Volunteer Agreement, Release and Waiver of Liability, any questions of mine have been answered, and I voluntarily agree to all such provisions. It is my intent to bind my and the minor Volunteer's heirs, next of kin, assigns, and legal representatives. Furthermore, I understand that the above Volunteer Agreement, Release and Waiver of Liability is made on behalf of my minor child(ren) and/or legal wards and I represent and warrant to Habitat for Humanity International, Inc. or its affiliated organizations that I have the full authority to sign this on behalf of such minor(s). Parent/Guardian: Name (please print): _ Signature: Address: Phone: (H) (C) E-mail: Witness: Name (please print): Signature: Parent/Guardian: Name (please print): Signature: Address: Phone: (H) (C) E-mail: Witness: Name (please print): Signature: EMERGENCY CONTACT INFORMATION FOR THE ABOVE LISTED MINOR VOLUNTEER: Name: Relationship: Address:
Appears in 1 contract
Samples: Volunteer Agreement
Photographic/Recording Release. I The Parent/Guardian and Minor hereby grant and convey unto the Released Parties all right, title, title and interest in any and all photographs and video/audio/electronic recordings of methe Minor, including as to my the Minor’s name, image and voice, made by or on behalf of any of the Released Parties during my the Minor’s Activities with the Released Parties, including, but not limited to, the right to use such materials for any purpose and to any royalties, proceeds or other benefits derived from them. I The Parent/Guardian and Minor understand that I the Minor will not have any ownership, ownership interest in, in or to such photographs, images and/or recordings, I have The Minor has not been provided or promised any compensation to mecompensation, and I the Parent/Guardian and Minor hereby waive any rights, privileges or claims based on any right of publicity, privacy, ownership or any other rights arising, relating to or resulting from the photographs, images and/or recordings. I understand and agree that this paragraph also applies to my minor child(ren) who are volunteering. Other: I The Parent/Guardian and Minor expressly agree that this Release is intended to be as broad and inclusive as permitted by state law. I The Parent/Guardian and Minor further agree that in the event any clause or provision of this Release is held invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining clauses or provisions of this Release, which shall continue to be enforceable. Further, a waiver of a right under this Release by a Released Party does not prevent the exercise of any other right. Volunteer Information: Name: Date of Birth: Address: City: State: Zip: Phone: Email: Emergency Contact Name: Relationship: Address: City: State: Zip: Phone: I The Parent/Guardian and Minor have carefully considered my this decision, the benefits, benefits and risks involved and hereby give my informed consent for the Minor to participate in all volunteer Activities. I The Parent/Guardian and Minor have read and understand this Agreement, Release, Release and Waiver of Liability, any questions of mine have been answered, and I the Parent/Guardian voluntarily agree agrees to the above provisions. It is my intent the intention of the Parent/Guardian and Minor to bind my all heirs, next of kin, assigns, assigns and legal representativerepresentatives. SignatureIMPORTANT: Date: For Volunteers under If the Volunteer is less than 18 years of age: All , all parents and/or legal or guardians must (1) complete both sections the signature section below; and (2) sign one additional form: the “Parental Authorization for Treatment of, and Travel With, a Minor Child” (“Parental Authorization”) on the following page. If the minor will be travelling outside the United States, the Parental Authorization must be notarized. If only one parent or guardian signs these forms on behalf of a Volunteer who is under 18 years of ageMinor, then the undersigned parent or guardian of the Volunteer Minor hereby covenants, warrants, represents, represents and agrees that (s)he he or she is executing these forms on behalf of, and as an agent for, any other individual who may be a parent or guardian of the VolunteerMinor, that (s)he he/she is fully authorized to do so, and that by executing such Release and Parental Authorization, the undersigned is binding himself/herself, the VolunteerMinor, and any other parent or guardian of the VolunteerMinor, and all of their heirs, next of kin, assigns, and legal representatives to such Release and Parental Authorization. SIGNATURE PAGE FOLLOWS Name of Volunteer Under 18 Years Old: Name: Date of Birth: Volunteer Group/Affiliation: SIGNATURE OF PARENT/GUARDIAN SIGNING ON BEHALF OF THE ABOVE MINOR: I have carefully considered my decision, the benefits and risks involved and hereby give my informed consent, on behalf of the above listed minor child, for him/her to participate in all Activities as set forth in the above Volunteer Agreement, Release and Waiver of Liability, and such terms are incorporated herein. I have read and understand the above Volunteer Agreement, Release and Waiver of Liability, any questions of mine have been answered, and I voluntarily agree to all such provisions. It is my intent to bind my and the minor's heirs, next of kin, assigns, and legal representatives. Parent/Guardian: Name (please print): Signature: Address: Phone: (H) (C) E-mail: Witness: Name (please print): Signature: Parent/Guardian: Name (please print): Signature: Address: Phone: (H) (C) E-mail: Witness: Name (please print): Signature: EMERGENCY CONTACT INFORMATION FOR THE ABOVE LISTED MINOR VOLUNTEER: Name: Relationship: Address: Phone: (H) (C/W) E-mail: PARENTAL AUTHORIZATION FOR TREATMENT OF, AND TRAVEL WITH, A MINOR CHILD I, , am the parent or legal guardian having custody of , a minor child. As such parent or legal guardian, I hereby authorize and appoint , an adult in whose care the minor child has been entrusted or a duly authorized agent of Greater Charlottesville Habitat for Humanity as my agent to act for me with respect to my minor child and in my name in any way I could act in person to make any and all decisions for me with respect to my minor child, concerning my minor child’s personal care, medical treatment, hospitalization, and health care and to require, withhold or withdraw any type of medical treatment or procedure, including X-ray examination, anesthetic, medical or surgical diagnosis or treatment which may be rendered to my minor child under the general or special supervision and on the advice of any physician or surgeon licensed to practice in the state in which treatment is sought. My agent shall have the same access to my minor child’s medical records that I have, including the right to disclose the contents to others. Also, I hereby authorize and appoint my agent to travel with my minor child to [insert location], and consent for my minor child to serve as a volunteer with [insert organization], and to help construct houses and participate in other activities on a voluntary basis, without compensation.
Appears in 1 contract
Samples: Youth Volunteer Agreement