Welcome Warehouse Recipients General Waiver

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General Waiver and Release Form for
WELCOME WAREHOUSE Recipients
[To be completed by each Recipient]
I/We, ___________________________________________________ (your name/s), on behalf of myself
and any family member, do participate as a RECIPIENT (the Recipient) in Welcome Warehouse, Inc. (the Program)
solely as a Recipient of pro-bono volunteer assistance.
I/We are participating solely to receive free help that I/We are soliciting and receiving from volunteers
participating in the Program.
I/We wish to participate as RECIPIENT of Welcome Warehouse, Inc., assistance and I/We sign this
Waiver and agree to each of the following:
1. I/We release and hold harmless any and all volunteers performing assistance from any and all claims that
may arise out of any program, activity, or service through Welcome Warehouse, Inc.
2. I/We release, waive, discharge, and covenant not to make a claim against or sue (a) Welcome
Warehouse, Inc. or any of its employees, agents, director, officers, volunteers, and (b) any contractors
related to Welcome Warehouse, Inc. or their employers, suppliers, vendors, from all liability for any
claims relating to their participation in any Welcome Warehouse program, activity, or service, including,
but not limited to, recommendations, advice, inspections, or repairs which they may or may not have
given or provided to us.
3. I/We agree to indemnify, save and hold harmless (a) Welcome Warehouse, Inc., or any of its employees,
agents, officers, volunteers, and (b) any contractors or their employers, suppliers, vendors from any and
all loss, liability damage or cost that may be incurred due to any recommendations, advice, inspections,
repairs, or other work or volunteer activities which the volunteers from the Program provide to us or our
organization.
4. I attest that no oral representations, statements, or inducements apart from the foregoing written
agreement have been made.
5. I agree to read and voluntarily sign this Release, Waiver and Indemnity Agreement.
Name of Welcome Warehouse, Inc, Recipient (please print):
____________________________________
ADDRESS:________________________________________
________________________________________________
Signature of Recipient
_________________________________
Date:______________________________

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