Parts of Peace Volunteer & Media Release Form

Volunteer Activity: I am donating my time and services without any compensation and shall at no time be considered an employee or independent contractor of the Volunteer Event. I understand that no organization is providing insurance coverage for me.

Release from Liability: In consideration for being allowed to participate in the Volunteer Event as a volunteer, I, binding my heirs, executors, administrators, and assigns, hereby fully and forever release, waive, discharge, acquit and exonerate the organizer of the Volunteer Event in which I am participating, all Volunteer Event sponsors and all Volunteer Event volunteers and affiliates, from any and all claims, actions, causes of action, remedies and complaints of any kind, except for claims for gross negligence or willful misconduct, which I have or may have, whether known or unknown, arising out of or relating to the Volunteer Event or my volunteer work for this event, including specifically all claims for personal injury, paralysis, wrongful death, property damage and any other injury I may sustain.

Assumption of Risk: I assume all risks of participating in the Volunteer Event and full responsibility for my conduct and actions, including any injury to myself or others or damage to property that may result while volunteering. I understand that the organizer and Volunteer Event sponsors are not responsible for conditions I create for myself or those created by other volunteers or participants. I am aware that the Volunteer Event activities may be hazardous, involving risk of serious bodily injury, death, or property damage. I am voluntarily participating in these activities with knowledge of the risks. These risks include, but are not limited to, slips, falls, exposure to hazardous materials, objects or persons falling on persons, equipment failure, injury from sharp equipment, improperly administered first aid, lightning strikes, hypothermia, and/or drowning. I know of no reason, medical or otherwise, that would prevent me from performing the tasks required to participate in this volunteer activity. I will be personally responsible for my own safety during these Activities and assume all risks and accept full and complete responsibility for any and all damages and personal injury of any kind, including death. I recognize Volunteer Event sponsors and their agents, volunteers and affiliates make no representations whatsoever as to whether the event locations are safe or as to whether the safety recommendations provided are comprehensive or adequate.

For valuable consideration, the receipt and sufficiency of which is hereby acknowledged, I hereby give to Parts of Peace, its nominees, agents, assigns, affiliated agencies and member agencies, my free, absolute and unlimited right, consent and permission, waiving all claims for any compensation by reason thereof or for damages by reason thereof, to use, re-use, publish, republish, exhibit or display in any way, with or without identification of me by name, any photographic portrait(s), picture(s), film(s), video(s), digital image(s) or other depictions of any kind or nature (hereinafter "IMAGE") of me of in which I may be included, in whole or in part, or composite, whether or not distorted in character or form, without restriction as to changes or alterations, in conjunction with my own or a fictitious name, any reproductions thereof in color or otherwise, made through any medium, and in any and all media now or hereafter known for illustration, promotion, art, advertising, trade, or any other purpose whatsoever. I also consent to the use of any printed, spoken or other matter in conjunction of juxtaposed therewith.

I hereby waive any right that I may have to inspect or approve the finished product or products and the advertising copy or other matter that may be used in connection therewith or the use to which the IMAGE may be applied.

I hereby release, discharge and agree to save harmless Parts of Peace, its affiliated agencies, grantees and affiliated members, and the nominees, agents, assigns, representatives and employees of each, from any claim or liability of any kind by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in the taking of said IMAGE or in any subsequent processing thereof, any publication or other use thereof, and from any claim or liability of any kind for any expressed, implied or inferred statement arising from the IMAGE alone, any accompanying printed, spoken or other matter, or any combination of the two, including without limitation any claim or liability for libel or invasion of privacy.

By signing below, I affirm that I have read and understood the above document and that I voluntarily, freely and without duress agree to its terms.