DO NOT CONTACT DDA BY TELEPHONE REGARDING THIS.
COMPLETING THIS FORM IS REQUIRED FOR ALL VOLUNTEERS.


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Release and Volunteer Waiver of Liability

Thank your interest in volunteering for Diabetics/Disabled Anonymous Non-Profit Support Group and Alliance, Inc. We greatly appreciate your assistance and commitment to helping Diabetics/Disabled Anonymous.

Our policy requires that we have an accurate record of all volunteers and liability waivers for all volunteers.

This is a form where you agree to release Diabetics/Disabled Anonymous Non-Profit Support Group and Alliance, Inc. of all liability while volunteering with Diabetics/Disabled Anonymous. This form is in effect for all time from the signing date, or for one year if the volunteer specifically requests this limit below.


This Waiver of Liability (the “Release”) executed on the date submitted in this online form below (the “Volunteer”) in favor of Diabetics/Disabled Anonymous Non-Profit Support Group and Alliance, Inc. it’s directors, officers, employees and agents.

The Volunteer desires to work as a volunteer for Diabetics/Disabled Anonymous and engage in the activities related to being a volunteer (the Activities”). The Volunteer understands that the Activities may include driving, attending meetings or getting services or classes.


The Volunteer hereby freely, voluntarily, and without duress executes this Release under the following terms:
Release and Waiver: Volunteer does hereby release and forever discharge and hold harmless Diabetics/Disabled Anonymous and its successors and assigns from any and all liability, claims and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from Volunteer’s activities with Diabetics/Disabled Anonymous.


Volunteer understands that this Release discharges Diabetics/Disabled Anonymous from any liability or claim that the Volunteer may have against Diabetics/Disabled Anonymous with respect to any bodily injury, personal injury, illness, death or property damage that may result from the Volunteer’s Activities with Diabetics/Disabled Anonymous whether caused by the negligence of Diabetics/Disabled Anonymous or its officers, directors, employees, or agents or otherwise.


Volunteer also understands that Diabetics/Disabled Anonymous does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness.

Medical Treatment:

The Volunteer does hereby release and forever discharge Diabetics/Disabled Anonymous from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Volunteer’s Activities with Diabetics/Disabled Anonymous.

Assumption of the Risk:

The Volunteer understands that the Activities includes work that may be hazardous to the Volunteer, including, but not limited to, loading and unloading of supplies, transportation to and from classes, work sites, or meeting sites, or other relevant locations, inclusive neighboring properties which Volunteer may access during work or other activity at Diabetic/Disabled Anonymous.

Volunteer hereby expressly and specifically assumes the risk of injury or harm in the Activities and releases Diabetic/Disabled Anonymous from all liability for injury, illness, death, or property damage resulting from the Activities.

Insurance:

The Volunteer understands that, except as otherwise agreed to by Diabetics/Disabled Anonymous in writing; Diabetics/Disabled Anonymous does not carry or maintain personal injury, health, medical, or disability insurance for any Volunteer. Each Volunteer is expected and encouraged to obtain his or her own personal injury, medical or health insurance coverage.

Driving Waiver:

Volunteer individually and on behalf of all heirs, successors, assigns and personal representatives, hereby releases Diabetics/Disabled Anonymous and its employees, agents, officers and representatives from any and all liability whatsoever for any and all damages, losses, or injuries (including death) to persons or property resulting from the use of Volunteer's personal vehicle while driving on Diabetics/Disabled Anonymous business or traveling to or from a Diabetics/Disabled Anonymous event or class.

Volunteer acknowledges and represents that Volunteer's personal vehicle is adequately insured and that in the event of an automobile accident; Volunteer's personal automobile insurance will respond as primary insurance coverage. Volunteer further acknowledges that Volunteer's personal automobile insurance will respond to any physical damage (comprehensive and/or collision) or loss which may occur to Volunteer's vehicle. Volunteer agrees that Diabetics/Disabled Anonymous will not respond to any claim for damages to Volunteer's vehicle, whether insured or not insured, including deductibles.

Other:

Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Minnesota and that this Release shall be governed by and interpreted in accordance with the laws of the State of Minnesota. Volunteer agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.

 

By completing this form do you agree in advance to the above release and waiver of liability regarding all volunteer work , in all aspects and respects, done for Diabetics/Disabled Anonymous:

Yes No

CLICK HERE TO DOWNLOAD YOUR COPY OF THIS RELEASE AND WAIVER


DATE THIS FORM SUBMITTED ON:  DAY:   MONTH:   YEAR:
Volunteer has executed this release as of the day and year first above written.

Does the volunteer specifically limit this release and waiver to a
duration of one year FROM THE ABOVE DATE: Yes No

 

BY SUBMITTING THIS FORM YOU AGREE TO ALL THE TERMS OF THE ABOVE LIABILITY WAIVER.

*******If the volunteer is under the age of 18 a parent or
legal guardian must complete this form.**********