Volunteer Release Form printable pdf download

Volunteer Release Form

I am working as a volunteer for the Rebuilding Together project. I hereby acknowledge that

working on the Rebuilding Together project involves some risk of personal injury. I hereby

acknowledge that Rebuilding Together has made no representations about the condition of the

premises on which I will be working or the activities in which I choose to engage.

I hereby release and hold harmless Rebuilding Together, its officers and directors and others

working on this project, including

________________________________ (the sponsor

organization) and ________________________________ (the Homeowner) where I will

volunteer, from any and all liability which might result from my working on this project.

I hereby acknowledge that I assume the risk of any injury which might occur as the result of

working on this project.

REGARDING LEAD PAINT

I understand RT Richmond is required to comply with the EPA Renovation, Repair and Painting

(RRP) Rule regarding lead paint. _________(initial)

I will read and abide by the signage posted at the work site regarding lead paint. _____(initial)

I understand that if actions violating the RRP Rule are undertaken, work may be stopped at the

home. __________(initial)

Permission for Use of Photo for Promotional Materials

To help us spread the word about Rebuilding Together of Richmond, we produce a number of

promotional materials that are distributed to the public. We request your permission to use your

name and photo image in our promotional pieces.

Signed this __________ day of_____________, _________

Signature:

____________________________________

(signature of parent if volunteer is under 18)

Printed Name:

____________________________________

Mailing Address:

____________________________________

Phone: (h) _________________(w) ____________________ (c ) ___________________

Email address:

____________________________________

Revised: April 2011

Volunteer Release Form