Home→How to Help→Volunteer→Resources for Volunteers→Volunteer Waiver and Safety AgreementVolunteer Waiver & Safety Agreement Acknowledgement of volunteer responsibility, Express assumption of risk and release of liability Couchiching Conservancy Volunteer ProgramDate: January 1, 2021 to duration of participation in project To: The Couchiching ConservancyI understand that during my participation as a volunteer, I may be exposed to a variety of hazards and risks, foreseen or unforeseen, involved in the activities of the project(s) I am involved with. The risks include, but are not limited to, the dangers of serious personal injury or property damage, or my death (“injuries and damages”) from exposure to the hazards of this property monitoring work. I understand that risks of such injury and damages are involved in participating as a volunteer and I appreciate that I may have to exercise extra care for my own person as well as for others around me in the face of such hazards. In consideration of my acceptance as a participant in the Couchiching Conservancy’s Volunteer Program, I hereby waive, release and discharge The Couchiching Conservancy and its officers, directors, employees, contractors, agents, volunteers, and leaders from all claims for any such injuries and damages even though such injuries and damages may result from negligence. Consent* I understand that this assumption of risk and release is binding upon my heirs, executors, administrators, successors and assigns, and includes any minors accompanying me on the outingConsent* I hereby authorize other volunteers and staff of the Couchiching Conservancy to secure medical advice and services as may be deemed necessary for the health and safety of myself and I agree to accept financial responsibility in excess of the benefits allowed by the Provincial Health and The Couchiching Conservancy’s insurance planConsent* I confirm that I have read this document in its entirety and I appreciate, understand, and freely and voluntarily assume all risks of such injuries and damages on my own behalf and on behalf of any minors accompanying me during my participation in this project and notwithstanding such risk, I agree to participateName* First Last Signature* Signed Date* MM slash DD slash YYYY Minor NameIf you are a minor (under 18), your parent or legal guardian must also sign this release on your behalf First Last Minor AgeSignature of Parent or Guardian Signed Date MM slash DD slash YYYY Emergency ContactPlease provide us with contact information and the person you would like us to contact in case of emergencyYour Name* First Last Email* If you do not have an email please put 'None'Home PhoneMobile PhoneAddress* Street Address Address Line 2 City / Township Postal Code In case of an emergency, please contactEmergency Contact Name* First Last Home PhoneMobile PhoneRelationship* CommentsThis field is for validation purposes and should be left unchanged.
