Volunteer Waiver and Release AgreementVolunteer Waiver and Release Agreement • March 30th, 2022
Contract Type FiledMarch 30th, 2022PARTICIPANT CONTACT INFORMATION Participant Name (please print) Residence Address (street) City State Primary Telephone Contact E-mail Age ZIP/Postal Code(optional) INSURANCE INFORMATION Hui O Ka Wai Ola requires volunteers to have medical insurance. Do you have medical insurance? Yes ☐ No ☐ Initial: EMERGENCY CONTACT Emergency Contact Name Relationship Home Phone Number Cell Phone Number Work Phone Number IF YOU ARE UNDER EIGHTEEN (18) YEARS OF AGE, PLEASE HAVE YOUR PARENT OR LEGAL GUARDIAN READ THIS VOLUNTEER WAIVER AND RELEASE AGREEMENT AND SIGN THE PARENT/GUARDIAN RELEASE AT THE END OF THIS DOCUMENT.
Volunteer Waiver and Release AgreementVolunteer Waiver and Release Agreement • May 31st, 2021
Contract Type FiledMay 31st, 2021PARTICIPANT CONTACT INFORMATION Participant Name (please print) Residence Address (street)Primary Telephone Contact City State Age ZIP/Postal CodeE-mail (optional) INSURANCE INFORMATION Hui O Ka Wai Ola requires volunteers to have medical insurance. Do you have medical insurance? Yes ☐ No ☐If NO, I agree that I will be solely responsible for any medical costs and expenses if I am injured while a volunteer. Initial: EMERGENCY CONTACT Emergency Contact Name Relationship Home Phone Number Cell Phone Number Work Phone Number IF YOU ARE UNDER EIGHTEEN (18) YEARS OF AGE, PLEASE HAVE YOUR PARENT OR LEGAL GUARDIAN READ THIS VOLUNTEER WAIVER AND RELEASE AGREEMENT AND SIGN THE PARENT/GUARDIAN RELEASE AT THE END OF THIS DOCUMENT.
Volunteer Waiver and Release AgreementVolunteer Waiver and Release Agreement • October 24th, 2020
Contract Type FiledOctober 24th, 2020PARTICIPANT CONTACT INFORMATION Participant Name (please print) AgeResidence Address (street) City State ZIP/Postal Code Primary Telephone Contact E-mail (optional) INSURANCE INFORMATION Hui O Ka Wai Ola requires volunteers to have medical insurance. Do you have medical insurance? Yes ☐ No ☐ Initial: EMERGENCY CONTACT Emergency Contact Name Relationship Home Phone Number Cell Phone Number Work Phone Number IF YOU ARE UNDER EIGHTEEN (18) YEARS OF AGE, PLEASE HAVE YOUR PARENT OR LEGAL GUARDIAN READ THIS VOLUNTEER WAIVER AND RELEASE AGREEMENT AND SIGN THE PARENT/GUARDIAN RELEASE AT THE END OF THIS DOCUMENT.
Volunteer Waiver and Release AgreementVolunteer Waiver and Release Agreement • October 4th, 2020
Contract Type FiledOctober 4th, 2020PARTICIPANT CONTACT INFORMATION Participant Name (please print) Residence Address (street)Primary Telephone Contact City State Age ZIP/Postal CodeE-mail (optional) INSURANCE INFORMATION Hui O Ka Wai Ola requires volunteers to have medical insurance. Do you have medical insurance? Yes ☐ No ☐If NO, I agree that I will be solely responsible for any medical costs and expenses if I am injured while a volunteer. Initial: EMERGENCY CONTACT Emergency Contact Name Relationship Home Phone Number Cell Phone Number Work Phone Number IF YOU ARE UNDER EIGHTEEN (18) YEARS OF AGE, PLEASE HAVE YOUR PARENT OR LEGAL GUARDIAN READ THIS VOLUNTEER WAIVER AND RELEASE AGREEMENT AND SIGN THE PARENT/GUARDIAN RELEASE AT THE END OF THIS DOCUMENT.