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Grassroots Gardens WNY - Volunteer Information (2024)

Contact Information


(mm/dd/yyyy)



Accident waiver & Release of Liability

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING AND/OR VOLUNTEERING IN THIS ACTIVITY OR EVENT, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors and organizers of the activity or event in which I may participate, and that it will govern my actions and responsibilities at said activity or event. In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my personal injury, illness, death, property damage, property theft, economic loss or actions of any kind which may hereafter occur to me including my traveling to and from this event, GRASSROOTS GARDENS WNY and/or their directors, officers, employees, volunteers, representatives and agents, the activity or event holders, activity or event sponsors, activity or event volunteers; (B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity or event, whether caused by the negligence of releasee or otherwise.

Type your full name and today's date here to confirm the following: I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

Photo & Video waiver

I grant and convey to GRASSROOTS GARDENS WNY and/or their directors, officers, employees, volunteers, representatives and agents, the activity or event holders, activity or event sponsors, activity or event volunteers all right, title and interests in any and all photographs, images, or audio recordings of me or my likeness of voice made by the above mentioned in connection with my providing volunteer services on the date above.

Type your full name here if you agree to allow GGWNY to utilize photos/videos of you for promotional purposes; please type parent/guardian name if volunteer is a minor (under 18)

Parental/Guardian waiver for minors (under 18)

The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity, has consented to his/her child or ward’s participation in the activity or event, and has agreed individually and on behalf of the child or ward, to the terms of the accident waiver and release of liability set forth above. The undersigned parent or guardian further agrees to save and hold harmless and indemnify each and all of the parties referred to above from all liability, loss, cost, claim, or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor and the parents or legal guardian.

Parent/Guardian: Please type your full name and today's date here to indicate your understanding and consent of the waiver above.