YOUTH VOLUNTEER
RELEASE FORM

Volunteer Consent and Waiver for:   ____________________________________________
                                                                        (Please Print Volunteer’s Name)

 

As the parent or guardian of the minor listed above, I understand that his/her services are to be performed subject to the rules and regulations of Horse Creek Wildlife Sanctuary and that violations thereof shall be cause for immediate dismissal of his/her services.  All services performed by him/her are strictly voluntary, without pay or compensation of any sort and without liability of any nature on behalf of Horse Creek Wildlife Sanctuary.  I further acknowledge that all services are performed at his/her own risk.

I understand that Horse Creek Wildlife Sanctuary reserves the right to take photographic or film records of any activities on its premises, and I hereby agree that Horse Creek Wildlife Sanctuary may use any such photographic or film records for promotional purposes.

I herby release, discharge, indemnify and hold harmless Horse Creek Wildlife Sanctuary, its trustees, agents and employees from and against any and all claims, causes of action, demands, judgments or fees which could in any way be associated with or connected with his/her services thereto and for any and all personal injury or personal property damages resulting from such volunteer work.  This includes, but is not limited to, animal bites, accidents or injuries.

 

Na me of Parent or Guardian (Please Print):  ___________________________________

Parent or Guardian Signature:  ___________________________________

Date:  ___________________________________

For immediate information please email: Denise Pipkins.