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ADULT VOLUNTEER RELEASE FORM

THANK YOU FOR VOLUNTEERING!

Please read this document carefully and completely. By signing this agreement you waive certain legal rights. Your signature is required for participation in this volunteer event.

I hereby request to be permitted to participate in a volunteer event (hereafter, the "Volunteer Event") sponsored by New York Restoration Project ("NYRP"). As part of the Volunteer Event, I may work on public and private properties throughout New York City,

including but not limited to: developments of the New York City Housing Authority ("NYCHA"); schoolyards and playgrounds of the New York City Department of Education ("DOE"); and streets, parks and playgrounds of the New York City Department of Parks & Recreation ("Parks").

I am fully aware, and hereby acknowledge, that work of the kind I have voluntarily agreed to undertake as part of the Volunteer Event involves inherent risks and dangers, including but not limited to: hazards of travel by bus, automobile and/or other modes of transportation; forces of nature, illness or accidents while participating in Volunteer Event or related activities; and damage to or loss of personal property. Some of the work I may be invited to undertake may involve strenuous physical activity, and with this knowledge, I hereby state that I am physically fit and prepared to perform such work, and that I have no health-related conditions that will or ought to restrict my participation in physical activities at the Volunteer Event.

In consideration of being permitted to participate in the Volunteer Event and in return for the services provided by NYRP, NYCHA, DOE, Parks, our affiliates and/or their trustees, directors, officers, employees, agents, associates, corporate sponsors, Members, successors and assigns (collectively, the "Non-Profit and/or Public Parties"), I, the undersigned, hereby assume all risks and responsibilities in any way associated with or inherent in my participation in the Volunteer Event, and, intending to be legally bound, hereby, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against the Non-Profit and/or Public Parties, including for all injuries suffered by me in said Volunteer Event, any liability that may arise because of my participation in the Volunteer Event, any liability arising from my death, or from damage to personal property or expenses in connection with the Volunteer Event, whether caused by the negligence of the Non-Profit and/or Public Parties or otherwise, and whether or not such harms were reasonably foreseeable. I also agree not to bring any legal actions against the Non-Profit and/or Public Parties based upon my participation in the Event.

I, the undersigned, voluntarily and without compensation grant permission to the Non-Profit and/or Public Parties to take and use visual/audio images of me. Visual/audio images are any type of recording, including photographs, digital images, drawings, renderings, voices, sounds, video recordings, audio clips or accompanying written descriptions. I agree that the Non-Profit and/or Public Parties own the images and all rights related to such images. The images may be used in any matter or media without notifying me, including but not limited to use in web sites, publications, promotions, broadcasts, advertisements, posters, presentations, exhibits and videos.

I further grant to the Non-Profit and/or Public Parties, without time restrictions, full rights to republish or rebroadcast these images, and to use such images in official reports and for official business of the Non-Profit and/or Public Parties. I waive any right to inspect or approve the finished images or any printed or electronic matter that may be used with such images. I release the Non-Profit and/or Public Parties, and any firm authorized to publish and/or distribute a finished product containing the images, from any claims, damages or liability which I may ever have in connection with the taking or use of the images or printed material used with the images.

I fully understand that the terms of this agreement shall bind me as well as my family members, heirs, executors, administrators, and assigns. This agreement shall be governed by New York law, and if any part of this agreement is held to be invalid or unenforceable, the validity and enforceability of the remaining portions of this agreement shall be unaffected.

I HAVE READ THIS DOCUMENT CAREFULLY AND FULLY UNDERSTAND THAT THIS IS A RELEASE AND WAIVER OF LEGAL RIGHTS AND AN ASSUMPTION OF RISK.

Dated: March 28, 2024

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Event
Please ask if you are unsure of the event for which you are signing this waiver!*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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