Scroll to see more shifts & complete your submission at the bottom of the page.Click here to scroll down.
Waiver
Who is this registration for?
Please provide a name and email address for a parent or guardian, they will need to sign off for you.
Parent/guardian first name:
Parent/guardian email:
*THIS WAIVER IS ONLY FOR UNCONSERVED ADULTS. PLEASE CLICK BELOW FOR WAIVER FOR MINORS AND INDIVIDUALS WHO ARE CONSERVED*
I, the Volunteer, understand that the scope of my volunteer relationship with Common Roots Farm is limited to a volunteer position and that no compensation is expected in return for services provided by me; that Common Roots Farm will not provide any benefits traditionally associated with employment to me and that I am responsible for my own insurance coverage in the event of personal injury or illness as a result of my services to Common Roots Farm.
Waiver and Release: I, the Volunteer, herby release, waive, discharge, and hold harmless Common Roots Farm, Coastal Haven Families, LLC, and its successors and assigns from any liability or claim that I may have against Common Roots Farm and/or Coastal Haven Families, LLC, with respect to bodily injury, personal injury, illness, death, or personal property damage that may result from the services I provide to Common Roots Farm, or occurring while performing volunteer activities on the Common Roots Farm/Coastal Haven Families, LLC campus. I further acknowledge that the above list is not inclusive of all possible risks associated with volunteering at Common Roots Farm and that I am aware of the risks involved whether described or not. I hereby certify that I have full knowledge of the nature and extent of the risks inherent in volunteering at Common Roots Farm and the use of the facilities, equipment, or services in association with Common Roots Farm/Coastal Haven Families, LLC, and that I am voluntarily assuming all risks, whether known or unknown. I acknowledge that I will not always be supervised during the entire volunteering shift by an employee of Common Roots Farm.
Insurance: Further, I understand that Common Roots Farm and Coastal Haven Families, LLC do not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health or disability benefits or insurance of any nature in the event of my injury, illness, death, or damage to my property. I expressly waive any such claim for compensation or liability on the part of Common Roots Farm/Coastal Haven Families, LLC beyond what may be offered freely by Common Roots Farm/Coastal Haven Families, LLC in the event of such injury or medical expenses incurred by me.
Medical Treatment: I hereby release and forever discharge Common Roots Farm and Coastal Haven Families, LLC 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 tenure as a volunteer with Common Roots Farm.
Assumption of Risk: I understand that the services I provide to Common Roots Farm may include activities that may be hazardous to me. As a volunteer, I hereby expressly assume the risk of injury or harm from these activities and release Common Roots Farm/Coastal Haven Families, LLC from all liability for injury, illness, death or property damage resulting from the services I provide as a volunteer or occurring while I am providing volunteer services. I agree to make sure that I know how to safely participate in volunteering at Common Roots Farm and I agree to observe any rules and practices that may be employed to minimize the risk of injury. I agree to stop and seek assistance if I do not believe I can safely continue. I agree to limit my participation to reflect my personal fitness level.
Photographic Release: I grant and convey to Common Roots Farm/Coastal Haven Families, LLC all right, title, and interests in any and all photographs, images, video, or audio recordings of me or my likeness or voice made by Common Roots Farm/Coastal Haven Families, LLC in connection with my providing volunteer services to Common Roots Farm. I understand that this content may be used for educational, publicity, or fundraising purposes.
Other: As a volunteer, I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of California and that this Release shall be governed by and interpreted in accordance with the laws of the State of California. I agree that in the event that any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected.
*THIS WAIVER IS ONLY FOR UNCONSERVED ADULTS. PLEASE CLICK BELOW FOR WAIVER FOR MINORS AND INDIVIDUALS WHO ARE CONSERVED*
I, the Volunteer, understand that the scope of my volunteer relationship with Common Roots Farm is limited to a volunteer position and that no compensation is expected in return for services provided by me; that Common Roots Farm will not provide any benefits traditionally associated with employment to me and that I am responsible for my own insurance coverage in the event of personal injury or illness as a result of my services to Common Roots Farm.
Waiver and Release: I, the Volunteer, herby release, waive, discharge, and hold harmless Common Roots Farm, Coastal Haven Families, LLC, and its successors and assigns from any liability or claim that I may have against Common Roots Farm and/or Coastal Haven Families, LLC, with respect to bodily injury, personal injury, illness, death, or personal property damage that may result from the services I provide to Common Roots Farm, or occurring while performing volunteer activities on the Common Roots Farm/Coastal Haven Families, LLC campus. I further acknowledge that the above list is not inclusive of all possible risks associated with volunteering at Common Roots Farm and that I am aware of the risks involved whether described or not. I hereby certify that I have full knowledge of the nature and extent of the risks inherent in volunteering at Common Roots Farm and the use of the facilities, equipment, or services in association with Common Roots Farm/Coastal Haven Families, LLC, and that I am voluntarily assuming all risks, whether known or unknown. I acknowledge that I will not always be supervised during the entire volunteering shift by an employee of Common Roots Farm.
Insurance: Further, I understand that Common Roots Farm and Coastal Haven Families, LLC do not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health or disability benefits or insurance of any nature in the event of my injury, illness, death, or damage to my property. I expressly waive any such claim for compensation or liability on the part of Common Roots Farm/Coastal Haven Families, LLC beyond what may be offered freely by Common Roots Farm/Coastal Haven Families, LLC in the event of such injury or medical expenses incurred by me.
Medical Treatment: I hereby release and forever discharge Common Roots Farm and Coastal Haven Families, LLC 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 tenure as a volunteer with Common Roots Farm.
Assumption of Risk: I understand that the services I provide to Common Roots Farm may include activities that may be hazardous to me. As a volunteer, I hereby expressly assume the risk of injury or harm from these activities and release Common Roots Farm/Coastal Haven Families, LLC from all liability for injury, illness, death or property damage resulting from the services I provide as a volunteer or occurring while I am providing volunteer services. I agree to make sure that I know how to safely participate in volunteering at Common Roots Farm and I agree to observe any rules and practices that may be employed to minimize the risk of injury. I agree to stop and seek assistance if I do not believe I can safely continue. I agree to limit my participation to reflect my personal fitness level.
Photographic Release: I grant and convey to Common Roots Farm/Coastal Haven Families, LLC all right, title, and interests in any and all photographs, images, video, or audio recordings of me or my likeness or voice made by Common Roots Farm/Coastal Haven Families, LLC in connection with my providing volunteer services to Common Roots Farm. I understand that this content may be used for educational, publicity, or fundraising purposes.
Other: As a volunteer, I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of California and that this Release shall be governed by and interpreted in accordance with the laws of the State of California. I agree that in the event that any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected.
By signing below, I express my understanding and intent to enter into this Release and Waiver of Liability. I acknowledge and represent that I have read the foregoing in its entirety; and that I understand it and sign it voluntarily as my own free act and deed.
*PLEASE SIGN THIS FORM FOR MINORS AND INDIVIDUALS WHO ARE CONSERVED*
I, the Volunteer, understand that the scope of my volunteer relationship with Common Roots Farm is limited to a volunteer position and that no compensation is expected in return for services provided by me; that Common Roots Farm will not provide any benefits traditionally associated with employment to me and that I am responsible for my own insurance coverage in the event of personal injury or illness as a result of my services to Common Roots Farm.
Waiver and Release: I, the Volunteer, herby release, waive, discharge, and hold harmless Common Roots Farm, Coastal Haven Families, LLC, and its successors and assigns from any liability or claim that I may have against Common Roots Farm and/or Coastal Haven Families, LLC, with respect to bodily injury, personal injury, illness, death, or personal property damage that may result from the services I provide to Common Roots Farm, or occurring while performing volunteer activities on the Common Roots Farm/Coastal Haven Families, LLC campus. I further acknowledge that the above list is not inclusive of all possible risks associated with volunteering at Common Roots Farm and that I am aware of the risks involved whether described or not. I hereby certify that I have full knowledge of the nature and extent of the risks inherent in volunteering at Common Roots Farm and the use of the facilities, equipment, or services in association with Common Roots Farm/Coastal Haven Families, LLC, and that I am voluntarily assuming all risks, whether known or unknown. I acknowledge that I will not always be supervised during the entire volunteering shift by an employee of Common Roots Farm.
Insurance: Further, I understand that Common Roots Farm and Coastal Haven Families, LLC do not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health or disability benefits or insurance of any nature in the event of my injury, illness, death, or damage to my property. I expressly waive any such claim for compensation or liability on the part of Common Roots Farm/Coastal Haven Families, LLC beyond what may be offered freely by Common Roots Farm/Coastal Haven Families, LLC in the event of such injury or medical expenses incurred by me.
Medical Treatment: I hereby release and forever discharge Common Roots Farm and Coastal Haven Families, LLC 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 tenure as a volunteer with Common Roots Farm.
Assumption of Risk: I understand that the services I provide to Common Roots Farm may include activities that may be hazardous to me. As a volunteer, I hereby expressly assume the risk of injury or harm from these activities and release Common Roots Farm/Coastal Haven Families, LLC from all liability for injury, illness, death or property damage resulting from the services I provide as a volunteer or occurring while I am providing volunteer services. I agree to make sure that I know how to safely participate in volunteering at Common Roots Farm and I agree to observe any rules and practices that may be employed to minimize the risk of injury. I agree to stop and seek assistance if I do not believe I can safely continue. I agree to limit my participation to reflect my personal fitness level.
Photographic Release: I grant and convey to Common Roots Farm/Coastal Haven Families, LLC all right, title, and interests in any and all photographs, images, video, or audio recordings of me or my likeness or voice made by Common Roots Farm/Coastal Haven Families, LLC in connection with my providing volunteer services to Common Roots Farm. I understand that this content may be used for educational, publicity, or fundraising purposes.
Other: As a volunteer, I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of California and that this Release shall be governed by and interpreted in accordance with the laws of the State of California. I agree that in the event that any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected.
CONSENT AND RELEASE OF PARENT OR GUARDIAN
I am the parent or guardian of the Child (Child). My Child is fit for activities and I consent to my Child's participation. I HAVE READ AND I UNDERSTAND THE ABOVE CONTRACT. In consideration to allowing my Child to participate. consent to contract and agree that ITS TERMS SHALL LIKEWISE BIND ME, MY CHILD, and our heirs, legal representatives, and assignees. THEREBY RELEASE AND SHALL DEFEND, INDEMNIFY, AND HOLD HARMLESS THE RELEASES FROM EVERY CLAIM AND ANY LIABILITY that or my Child may allege against Common Roots Farm and Coastal Haven Families, LLC (including reasonable legal fees and costs) as a direct or indirect result of injury or death to me or my Child because of my Child's participation in the event, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERS TO THE MAXIMUM EXTENT PERMITTED BY LAW. I PROMISE NOT TO SUE Common Roots Farm/Coastal Haven Families, LLC on my behalf or on behalf of my Child regarding any claim arising from my Child's participation in the activities.
By signing below, I express my understanding and intent to enter into this Release and Waiver of Liability. I acknowledge and represent that I have read the foregoing in its entirety; and that I understand it and sign it voluntarily as my own free act and deed.
The provisions of this agreement are severable. If any one or more provisions are determined to be illegal or otherwise unenforceable, in whole or in part, the remaining provisions shall nevertheless be binding and enforceable to the fullest extent provided by the law.
By signing below, I express my understanding and intent to enter into this Release and Waiver of Liability. I acknowledge and represent that I have read the foregoing in its entirety; and that I understand it and sign it voluntarily as my own free act and deed.
