If you are under 18 years of age, a parent or responsible individual will be required to sign on the registraion/release form on your behalf.  Children 12 and under must be accompanied by a responsible adult at all times.

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Area of service opportunity (1st Choice)

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Area of service opportunity (2nd Choice)

<Areas of Service Descriptions>

VOLUNTEER

Release Statement

In consideration of my acceptance as a Convoy of Hope participant, I represent and agree to the following:   (1) I am a volunteer and not an employee of Convoy of Hope.  (2) I am aware of the risks associated with serving as a volunteer, including but not limited to, death or injury by accident, disease, weather conditions, inadequate medical services and supplies, criminal activity, and random acts of violence.  I voluntarily assume all such risks.  (3) I waive and release all claims for damages which I, or my heirs or successors, may have against Convoy of Hope, and church, religious denomination or organization sponsoring a Convoy of Hope event, and any agent or employee of any such organizations, arising from my death, injury, or illness occurring during my volunteer assignment or as a result of my assignment.  (4) I agree that this assumption of risk agreement is intended to be as broad and inclusive as permitted by law.  I further state that I HAVE CAREFULLY READ THE FOREGOING ASSUMPTION OF RISK AND UNDERSTAND ITS CONTENTS, AND I VOLUNTARILY SIGN THIS RELEASE AS MY OWN FREE ACT.   

My submission of this form indicates my understanding of and my agreement with this release statement.

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