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(All participants must sign a copy of this form before being allowed to participate). 

LIABILITY DISCLAIMER:  In accordance with the spirit of volunteerism and service, I, the undersigned, assume full and complete responsibility for any injury or accident that may occur during my voluntary participation in the UW Day of Caring August 22, 2019 Day of Caring activities.  Therefore, I hereby release, indemnify, and hold harmless: United Way of Lincoln County, event organizers, the agency or project site at which I volunteer, any associated sponsors, and supervisors of all Day of Caring activities; from any and all liability in connection with any injury (including any injury caused by negligence), in conjunction with volunteer activity held in association with the UW Day of Caring on August 22, 2019 I acknowledge that there are certain foreseeable and unforeseeable risks associated with participating in this event, including, but not limited to, illness, and the effects of the weather, all such risks being understood and appreciated by me.

COMMUNICATIONS RELEASE:  I hereby assign the rights for the video and /or photographic recording(s) made of me on Thursday August 22, 2019 participating in a volunteer activity by United Way or its agencies.  I hereby authorize the editing, duplication, reproduction, copyright, exhibition, broadcast and or nonprofit us and distribution of said recordings for purposes deemed suitable by United Way.

I hereby waive any right to approve the finished products.

I certify that I am over eighteen years of age and am competent to enter in to this release.

I have read the foregoing releases, authorizations, and agreements, before affixing my signature below and warrant that I fully understand their contents.

*Full Name:
Your Business or Organization Name
*Mailing Address:
*Phone #:
*Email Address:
*I have read and agree to the terms of the Participant Waiver Statement.

(Items marked * are required)