RELEASE FROM LIABILITY AND ASSUMPTION OF RISK AGREEMENT
I, (please print) ___________________________________,
acknowledge that I have volunteered to participate without pay on the
construction site and in other activities with the Dallas Area Habitat for
Humanity, Dallas, Texas. I
understand that these activities are not conducted in the course of trade or
commerce and do not involve the lease or sale of goods or services.
I am aware that construction is a HAZARDOUS ACTIVITY.
I am voluntarily participating in the activities of construction, which
include but are not limited to, the construction of residential buildings,
loading and unloading materials, painting, finishing, framing, transporting to
and from building sites and other related activities with the knowledge of the
danger involved and with the knowledge that medical facilities may not be
available in the event of illness or injury to myself.
I hereby agree to accept any and all risk of injury, illness, or death
and verify this statement by placing my signature below.
As consideration for being permitted by Dallas Habitat for Humanity to
participate in the activities and use their tools and facilities, I hereby agree
that I, my assignees, heirs, distributees, guardians and legal representatives
will not make a claim against, sue, or touch the property of Dallas Area Habitat
for Humanity or Administaff Companies, Inc. and their directors, officers,
agents, employees, volunteers, suppliers, contractors, or subcontractors for
injury, illness or damage resulting from my participation in Dallas Area Habitat
for Humanity activity. I HEREBY
RELEASE DALLAS AREA HABITAT FOR HUMANITY AND ADMINISTAFF COMPANIES, INC. FROM
ALL ACTIONS, CLAIMS OR DEMANDS THAT I, OR MY REPRESENTATIVES, NOW HAVE, OR MAY
HEREAFTER HAVE, FOR INJURY, DEATH, OR DAMAGE RESULTING FROM MY PARTICIPATION IN
DALLAS AREA HABITAT FOR HUMANITY ACTIVITES INCLUDING ACTIONS, CLAIMS, OR DEMANDS
RESULTING IN WHOLE OR IN PART FROM THE NEGLIGANCE OF DALLAS AREA HABITAT FOR
HUMANITY, ADMINISTAFF, OR THEIR DIRECTORS, OFFICERS, AGENTS EMPLOYEES, SUPPLIERS
OR CONTRACTORS. THIS RELEASE IS
INTENDED BY BOTH PARTIES TO BE BROAD IN ITS EFFECT.
I further understand Administaff is
an offsite staff leasing services company that is in no way responsible for my
actions or the actions of the agents or employees of Dallas Area Habitat for
Humanity. I understand that
Administaff has no duties or obligations to provide or implement any safety
policy or safety training to the volunteers, including myself, for participation
in construction site projects for Dallas Area Habitat for Humanity.
I
have carefully read this release from Liability and Assumption of risk Agreement
and I fully understand its contents. I
am aware that this is a release of liability and a legal contract between
myself, Dallas Area Habitat for Humanity, and Administaff Companies, Inc. and
that it affects my legal rights. I
am signing this document of my own free will.
______________________________ ____________________________________
Participant Signature Signature of Parent/Guardian if volunteer is under 18
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Print Name Date
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E-mail Address Emergency Contact Name
______________________________________ _______________________________
Address, City, State, Zip Emergency Contact Phone
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Phone
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Organization