Volunteer

  • RELEASE AND WAIVER OF LIABILITY

    Having the authority to do so, I, on behalf of the organization or Circle Up Indy LLC. (hereinafter referred to as “Circle Up Indy”), its representatives, heirs, executors, administrators, agents, and assigns, HEREBY RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE Circle Up Indy, its Board of Directors, officers, employees, agents, sponsors, volunteers, and any program participant, staff member or employee (hereinafter referred to as “Team Member”) for any and all liability, including any and all claims, demands, causes of action (known or unknown), suits, or judgments of any and every kind (including attorneys’ fees), arising from any injury, property damage or death that I may suffer, REGARDLESS OF WHETHER THE INJURY, DAMAGE OR DEATH IS CAUSED BY THE NEGLIGENCE OR FAULT OF THE TEAM MEMBER, OR OTHERWISE, WHILE IN, ON, UPON, OR IN TRANSIT TO OR FROM THE PREMISES WHERE ANY PROGRAM, OR ANY ADJUNCT TO ANY PROGRAM, OCCURS OR IS BEING CONDUCTED.

  • INDEMNITY

  •  Having the authority to do so, I, on behalf of the organization or business, or representatives, heirs, executors, administrators, agents, and assigns, agree to hold harmless, defend and indemnify the Releases from any and all liability, including any and all claims, demands, causes of action (known or unknown), suits, or judgments of any and every kind (including attorneys’ fees), arising from any injury, property damage or death that I may suffer as a result of my participation, REGARDLESS OF WHETHER THE INJURY, DAMAGE OR DEATH IS CAUSED BY THE NEGLIGENCE OR FAULT OF THE RELEASEES OR OTHER PARTY.

  • IT IS MUTUALLY UNDERSTOOD AND AGREED BY AND BETWEEN THE PARTIES THAT:


  • agree to volunteer and/or participate in activities, services, and/or employment related to Circle Up Indy. In consideration of these efforts, my personal representatives, heirs and assigns, hereby agree to the following:

  • 1. Voluntary Participation

    My participation as a volunteer, staff member or employee in Circle Up Indy events and activities is a voluntary act that I chose to do.

  • 2. Assumption of Risk

    I understand that my participation in Circle Up Indy Team Member events and activities may involve risk of injury, disability or death, which condition might result not only from my actions, but from the actions of others. I understand that Circle Up Indy makes no guarantees of my personal well being or property’s safety. I am physically fit to carry out my participation in Team Member events and activities.

  • 3. Waiver and Release

    I release and discharge Circle Up Indy, its sponsors, employees, agents, representatives, successor or assigns from all claims for any liability, injury, loss, or damage in any way connected with my participation in Circle Up Indy Team Member events and activities; whether or not caused in whole or part by the negligence or any liability generating act of any kind or description by Circle Up Indy. I intend this Assumption, Waiver, Release and Consent shall apply and limit my relatives, personal representatives, heirs, beneficiaries, next of kin, or assigns who might pursue any legal action or claim for such liability, injury, loss or damage.

  • 4. Consent to Medical Treatment

    agree and consent that Circle Up Indy may select, but has no obligation, responsibility or duty, to provide me appropriately trained or qualified medical care provider or health care person, emergency assistance, transportation, or medical services. This consent does not impose a duty or obligation of any type on Circle Up Indy or medical care provider, health care person, emergency assistance, transportation, or medical services personnel or release(s) to provide such assistance, transportation or services.

  • Emergency Contact Name: Contact Phone:

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  • 5. Confidentiality and Non-disclosure.

    agree and consent that Circle Up Indy may select, but has no obligation, responsibility or duty, to provide me appropriately trained or qualified medical care provider or health care person, emergency assistance, transportation, or medical services. This consent does not impose a duty or obligation of any type on Circle Up Indy or medical care provider, health care person, emergency assistance, transportation, or medical services personnel or release(s) to provide such assistance, transportation or services.

  • 6. Media Release

    I give Circle Up Indy permission to use my name, likeness, image, voice, and/or appearance as such may be embodied in any pictures, photos, video recordings, audiotapes, digital images, and the like, taken or made on behalf of Circle Up Indy. I agree that Circle Up Indy has complete ownership of such pictures, etc., including the entire copyright, and may use them for any purpose consistent with Circle Up Indy mission statement. These uses include, but are not limited to websites, social media sites, illustrations, bulletins, exhibitions, videotapes, reprints, reproductions, publications, advertisements, and any promotional or educational materials in any medium now known or later developed, including on the Internet. I acknowledge that I will not receive any compensation, etc. for the use of such pictures, etc., and hereby release Circle Up Indy and its agents and assigns from any and all claims which arise out of or are in any way connected with such use.

  • 7. Applicable Law

    This Assumption, Waiver, Release, and Consent shall be controlled and interpreted consistent with laws of the State of Indiana without consideration of the conflicts of laws of other jurisdictions. Volunteer Staff and Employee Grievance Form Page 3 of 3 Revised 4-10-2017


  • ENTIRE AGREEMENT

    This Agreement represents the entire agreement between the parties and supersedes and renders null and void all prior agreements, arrangements or communications between the parties covering the same or similar subject matter, whether oral or written. The terms of this Agreement may not be altered or modified except by written agreement of all parties.