Release and Waiver of Liability
Please read carefully! This is a legal document that affects your legal rights!
The Volunteer desires to work as a volunteer for NJCSDA and engage in the activities related to being a volunteer for a free medical and dental clinic (the “Activities”). The Volunteer understands that the Activities may include physical labor, exposure to bio-hazardous materials such as blood and saliva, exposure to dental cleaning chemicals, exposure to sharp instruments and tools, and/or other circumstances that may result in personal injuries.
The Volunteer hereby freely, voluntarily, and without duress executes this Release under the following terms:
1. Release and Waiver
Volunteer does hereby release and forever discharge and hold harmless NJCSDA and its successors and assigns from any and all liability, claims, demands and whatever kind or nature, either in law or in equity, that arise or may hereafter arise from Volunteer’s Activities with NJCSDA. Volunteer understands that this release discharges NJCSDA from any liability or claim that the volunteer may have against NJCSDA with respect to any bodily injury, personal injury, illness, death, or property damage that may result from volunteer’s activities with NJCSDA, whether caused by the negligence of NJCSDA or its officers, directors, employees, or agents or otherwise. Volunteer also understands that NJCSDA does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness.
2. Medical Treatment
Volunteer does hereby release and forever discharge NJCSDA from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Volunteer’s Activities with NJCSDA.
3. Assumption of the Risk
The Volunteer understands that the Activities may involve work that may be hazardous to the Volunteer, including, but not limited to, cleaning, lifting, exposure to chemicals, exposure to bio-hazardous waste, and risks from transportation to and from the clinic. Volunteer hereby expressly and specifically assumes the risk of injury or harm in the Activities, and releases NJCSDA from all liability for injury, illness, death, or property damage resulting from the Activities.
4. Insurance
NJCSDA holds an insurance policy for our clinics also including things like med exp (any one person) Personal & ADV injury. If desired, providers are encouraged and welcome to take out an additional personal policy.
5. Photographic Release
Volunteer does hereby grant and convey unto NJCSDA all right, title, and interest in any and all photographic images and video or audio recordings made by NJCSDA during the Volunteer’s Activities with NJCSDA, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.
6. Other
Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Tennessee and the state the clinic is operating in, and that this Release shall be governed by and interpreted in accordance with the laws of the State of Tennessee and the state the clinic is operating in. Volunteer also agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.
I, the volunteer, have executed the release as of the day and year written below. I understand that this constitutes a legal signature confirming that I acknowledge and agree to the above terms of acceptance.