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Waiver
(“Release”) executed on this date by the undersigned (the “Participant”) in favor of CARITAS which is a 501(c)(3) nonprofit organized under Virginia law. I hereby freely and voluntarily, without duress, execute the Release under the following terms:
I understand that I am not considered an employee of CARITAS while performing work for the organization. I further understand as a volunteer I am not covered by workers compensation insurance for injury that may occur while I am acting as a volunteer. CARITAS requires that persons receiving service from the Furniture Bank be given the utmost respect and have their information treated confidentially. By signing this form, I agree not to release any client information without consent of the client and staff.
1. Waiver and Release. I, the Participant, release and forever discharge and hold harmless CARITAS from any claim or liability that I, the Participant, may have against CARITAS with respect to any bodily injury, personal injury, illness, death or property damage that may result from my participation in a volunteering capacity. I also understand that CARITAS does not assume any responsibility or obligation to provide financial or other assistance, including, but not limited to medical, health, or disability insurance, in the event of injury, illness, death or property damage (see insurance requirements below).
2. Insurance. CARITAS does not carry or maintain, and expressly disclaims responsibility for providing any health, medical or disability insurance coverage for the Participant. EACH PARTICIPANT IS EXPECTED AND ENCOURAGED TO CARRY PERSONAL LIABILITY OR HEALTH INSURANCE PRIOR TO REGISTERING AS A VOLUNTEER.
3. Medical Treatment. Except as otherwise agreed to by CARITAS in writing, I hereby release and forever discharge CARITAS from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my time with CARITAS.
4. Assumption of Risk. I understand that my time with CARITAS may include activities that may be hazardous to me, including, but not limited to, loading and unloading of heavy equipment and materials, and transportation to and from the site. I recognize and understand that my time with CARITAS may, in some situations, involve inherently dangerous activities. I hereby expressly and specifically assume the risk of injury or harm in these activities and release CARITAS from all liability for injury, illness, and death or property damage resulting from the activities of my time with CARITAS.
5. Photographic Release. I grant and convey unto CARITAS all rights, title and interest in any and all photographic images and video or audio recordings made by CARITAS during my work for CARITAS, including, but not limited to, any royalties, proceeds or other benefits derived from such photographs or recordings.
6. Other. I understand that it is my desire to further the work of CARITAS by performing services as a Volunteer. I undertake to perform said services as a Volunteer without compensation and that, in performing said services, I acknowledge that I am not acting as an employee of CARITAS.
7. Minors. I understand that on-site CARITAS volunteers must be at least 16 years of age and that on-site volunteers under the age of 18 must have adult supervision. (No fewer than one adult per five minors.)
8. COVID-19. The CARITAS and/or The Healing Place premise(s) is/are in full compliance with federal, state and local laws, regulations, and executive orders, and adhere to the guidance issued by the CDC, Occupational Safety and Health Administration, Equal Employment Opportunity Commission, and Virginia Department of Labor and Industry. As such, CARITAS requires that all who enter 2220 Stockton Street and/or 700 Dinwiddie Avenue, to answer COVID screening questions as well as have their temperature checked, wear a mask at all times when inside, maintain a safe distance from others, and immediately leave the building(s) should the individual develop COVID-like symptoms. In addition:
• Volunteer is fully aware that being present on the CARITAS and/or THP premise(s) carries with it certain inherent risks related to COVID-19 transmission (“Inherent Risks”) that cannot be eliminated regardless of the care taken to avoid such risks. Inherent Risks may include, but are not limited to, (1) the risk of coming into close contact with individuals or objects that may be carrying COVID-19; (2) the risk of transmitting or contracting COVID-19, directly or indirectly, to or from other individuals; and (3) injuries and complications ranging in severity from minor to catastrophic, including death, resulting directly or indirectly from COVID-19 or the treatment thereof.
• Volunteer further understands that the CDC has determined that certain risk factors, such as advanced age (65 or older), and certain underlying medical conditions, including kidney disease, COPD, immunocompromised state, obesity, heart conditions, sickle cell disease, diabetes, asthma, cerebrovascular disease, cystic fibrosis, hypertension, liver disease, pregnancy, pulmonary fibrosis, and smoking, increase the risk for severe illness from COVID-19.
• Volunteer acknowledges that the risks of COVID-19 are fully understood, and that contact with, or transmission of, COVID-19 may result in risks including but not limited to loss, personal injury, sickness, death, damage, and expense, the exact nature of which are not currently ascertainable, and all of which are to be considered Inherent Risks.
• Volunteer hereby voluntarily accepts and assumes all risk of loss, personal injury, sickness, death, damage, and expense arising from such Inherent Risks.
9. CARITAS DRUG-FREE WORKPLACE POLICY
CARITAS is dedicated to providing employees and volunteers with a workplace that is free of drugs and alcohol.
While on CARITAS’ premises, performing CARITAS-related duties, or operating any
CARITAS equipment, whether during work time or non-work time, employees/volunteers are prohibited from being under the influence of drugs or alcohol, and are strictly prohibited
from possessing illegal drugs, marijuana, or excessive quantities of prescription or over-the-counter drugs. Any drugs confiscated that are suspected of being illegal will be turned over to the appropriate law enforcement agency. There are limited exceptions for the use of prescription drugs (not including marijuana), as long as they do not create safety issues or impair an employee/volunteers’ ability to do their job, and the moderate use of alcohol at company-sponsored or sanctioned events.
Employees taking medication should consult a medical professional to determine whether the drug may affect their personal safety or ability to perform their job and should advise their manager of any resulting job limitations. Once notified, CARITAS will make reasonable efforts to accommodate the limitation. Violation of this policy may result in discipline, up to and including termination. To the extent that any federal, state, or local law or regulation limits or prohibits the application of any provision of this policy, then that particular provision will be ineffective in that jurisdiction only, while the remainder of the policy remains in effect.
Volunteers must notify the employer in writing of his or her conviction for a violation of a criminal drug statute no later than five calendar days after such conviction.
(“Release”) executed on this date by the undersigned (the “Participant”) in favor of CARITAS which is a 501(c)(3) nonprofit organized under Virginia law. I hereby freely and voluntarily, without duress, execute the Release under the following terms:
I understand that I am not considered an employee of CARITAS while performing work for the organization. I further understand as a volunteer I am not covered by workers compensation insurance for injury that may occur while I am acting as a volunteer. CARITAS requires that persons receiving service from the Furniture Bank be given the utmost respect and have their information treated confidentially. By signing this form, I agree not to release any client information without consent of the client and staff.
1. Waiver and Release. I, the Participant, release and forever discharge and hold harmless CARITAS from any claim or liability that I, the Participant, may have against CARITAS with respect to any bodily injury, personal injury, illness, death or property damage that may result from my participation in a volunteering capacity. I also understand that CARITAS does not assume any responsibility or obligation to provide financial or other assistance, including, but not limited to medical, health, or disability insurance, in the event of injury, illness, death or property damage (see insurance requirements below).
2. Insurance. CARITAS does not carry or maintain, and expressly disclaims responsibility for providing any health, medical or disability insurance coverage for the Participant. EACH PARTICIPANT IS EXPECTED AND ENCOURAGED TO CARRY PERSONAL LIABILITY OR HEALTH INSURANCE PRIOR TO REGISTERING AS A VOLUNTEER.
3. Medical Treatment. Except as otherwise agreed to by CARITAS in writing, I hereby release and forever discharge CARITAS from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my time with CARITAS.
4. Assumption of Risk. I understand that my time with CARITAS may include activities that may be hazardous to me, including, but not limited to, loading and unloading of heavy equipment and materials, and transportation to and from the site. I recognize and understand that my time with CARITAS may, in some situations, involve inherently dangerous activities. I hereby expressly and specifically assume the risk of injury or harm in these activities and release CARITAS from all liability for injury, illness, and death or property damage resulting from the activities of my time with CARITAS.
5. Photographic Release. I grant and convey unto CARITAS all rights, title and interest in any and all photographic images and video or audio recordings made by CARITAS during my work for CARITAS, including, but not limited to, any royalties, proceeds or other benefits derived from such photographs or recordings.
6. Other. I understand that it is my desire to further the work of CARITAS by performing services as a Volunteer. I undertake to perform said services as a Volunteer without compensation and that, in performing said services, I acknowledge that I am not acting as an employee of CARITAS.
7. Minors. I understand that on-site CARITAS volunteers must be at least 16 years of age and that on-site volunteers under the age of 18 must have adult supervision. (No fewer than one adult per five minors.)
8. COVID-19. The CARITAS and/or The Healing Place premise(s) is/are in full compliance with federal, state and local laws, regulations, and executive orders, and adhere to the guidance issued by the CDC, Occupational Safety and Health Administration, Equal Employment Opportunity Commission, and Virginia Department of Labor and Industry. As such, CARITAS requires that all who enter 2220 Stockton Street and/or 700 Dinwiddie Avenue, to answer COVID screening questions as well as have their temperature checked, wear a mask at all times when inside, maintain a safe distance from others, and immediately leave the building(s) should the individual develop COVID-like symptoms. In addition:
• Volunteer is fully aware that being present on the CARITAS and/or THP premise(s) carries with it certain inherent risks related to COVID-19 transmission (“Inherent Risks”) that cannot be eliminated regardless of the care taken to avoid such risks. Inherent Risks may include, but are not limited to, (1) the risk of coming into close contact with individuals or objects that may be carrying COVID-19; (2) the risk of transmitting or contracting COVID-19, directly or indirectly, to or from other individuals; and (3) injuries and complications ranging in severity from minor to catastrophic, including death, resulting directly or indirectly from COVID-19 or the treatment thereof.
• Volunteer further understands that the CDC has determined that certain risk factors, such as advanced age (65 or older), and certain underlying medical conditions, including kidney disease, COPD, immunocompromised state, obesity, heart conditions, sickle cell disease, diabetes, asthma, cerebrovascular disease, cystic fibrosis, hypertension, liver disease, pregnancy, pulmonary fibrosis, and smoking, increase the risk for severe illness from COVID-19.
• Volunteer acknowledges that the risks of COVID-19 are fully understood, and that contact with, or transmission of, COVID-19 may result in risks including but not limited to loss, personal injury, sickness, death, damage, and expense, the exact nature of which are not currently ascertainable, and all of which are to be considered Inherent Risks.
• Volunteer hereby voluntarily accepts and assumes all risk of loss, personal injury, sickness, death, damage, and expense arising from such Inherent Risks.
9. CARITAS DRUG-FREE WORKPLACE POLICY
CARITAS is dedicated to providing employees and volunteers with a workplace that is free of drugs and alcohol.
While on CARITAS’ premises, performing CARITAS-related duties, or operating any
CARITAS equipment, whether during work time or non-work time, employees/volunteers are prohibited from being under the influence of drugs or alcohol, and are strictly prohibited
from possessing illegal drugs, marijuana, or excessive quantities of prescription or over-the-counter drugs. Any drugs confiscated that are suspected of being illegal will be turned over to the appropriate law enforcement agency. There are limited exceptions for the use of prescription drugs (not including marijuana), as long as they do not create safety issues or impair an employee/volunteers’ ability to do their job, and the moderate use of alcohol at company-sponsored or sanctioned events.
Employees taking medication should consult a medical professional to determine whether the drug may affect their personal safety or ability to perform their job and should advise their manager of any resulting job limitations. Once notified, CARITAS will make reasonable efforts to accommodate the limitation. Violation of this policy may result in discipline, up to and including termination. To the extent that any federal, state, or local law or regulation limits or prohibits the application of any provision of this policy, then that particular provision will be ineffective in that jurisdiction only, while the remainder of the policy remains in effect.
Volunteers must notify the employer in writing of his or her conviction for a violation of a criminal drug statute no later than five calendar days after such conviction.
