We are excited to invite you to volunteer at The Healing Plate – A Benefit for CARITAS, an event that brings together everything CARITAS stands for: our mission, our impact, and our community. The evening will feature a family-style dining experience, with a meal prepared by local Richmond chefs and CARITAS' own culinary team. This special event will be held on Thursday, May 15th, and we need dedicated volunteers like you to help make it a success!


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Your information


Required fields are marked with an asterisk (*).
First Name *
Last Name *
Mobile Phone *

For example, 123-456-7890
Place of Employment/Study *
Emergency Contact *
Emergency Contact Phone *
Volunteer Type
How did you hear about CARITAS? *
If you are affiliated with a faith community, which one?
I would like to be added to the CARITAS volunteer newsletter distribution list. *
Required for participants under 18: Guardian Name
Required for participants under 18: Guardian Signature
Is anyone volunteering with you?
Select the additional volunteers attending with you:
Tip: don't count yourself - this is the number of people you are bringing to your shift(s).

Waiver

Volunteer Release and Waiver of Liability

(“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 volunteering at CARITAS may involve inherent risks, including, but not limited to, exposure to contagious illnesses, physical injury, or other unforeseen hazards. I acknowledge that my volunteer activities 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. 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, 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 a volunteer's ability to perform, and the moderate use of alcohol at company-sponsored or sanctioned events. Volunteers taking medication should consult a medical professional to determine whether the drug may affect their personal safety or ability to perform and should advise their manager of any resulting job limitations. Once notified, CARITAS will make reasonable efforts to accommodate the limitation.

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 organization in writing of his or her conviction for a violation of a criminal drug statute no later than five calendar days after such conviction.

By signing below you agree to the above waiver