Group Volunteer Release Form

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Ronald McDonald House Charities
(RMHC
)
®
®
of Greater Las Vegas
2323 Potosi St., Las Vegas, NV 89146 * 702.252-4663 *
2015 Group Volunteer Release Form
Date: ___________________
_______________________________________________
__________________________
Name of Organization/Group:
Contact Person(s):
____________________________________________________________
_____________________
_____
_________
Address:
City:
State:
Zip:
(
)__________________
(
)___________________
_____________________________________
Cell:
Alternate Ph:
E-Mail Address:
Please check the event(s) your organization is participating in:
Dinner Program
Let’s Do Lunch Program
Office
____________________
________________
Weekend Breakfast Program
House
Cookie Crew
Special Events:
Other:
Each group member must sign below
(if volunteer is under 18, parent/guardian signature is required)
As a volunteer for Ronald McDonald House Charities
®
(RMHC) of Greater Las Vegas, I, the undersigned, exempt and relieve RMHC of Greater Las
Vegas and their directors, trustees, employees and staff from liability for personal injury, property damage or wrongful death caused by negligence.
I understand that RMHC of Greater Las Vegas does not require my participation as a volunteer. I hereby release and discharge RMHC of Greater
Las Vegas and their directors, trustees, employees and staff from all claims and liability including all claims and liabilities from negligence arising from
my participation as a volunteer. I further agree to hold harmless and indemnify RMHC of Greater Las Vegas and its agents for all defense costs,
including attorney’s fees, and any other costs resulting in connection with my participation as a volunteer.
Signature - required
Age if
E-mail - required
(a parent or guardian must sign if
Name (PLEASE PRINT)
under 18
Date
(If no email, please provide phone number)
you are under 18)
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