Before going on your trip, please take a moment to fill out the following volunteer waiver form and information form. Fill out the forms directly on this page. o
Volunteer Agreement and Release From Liability
I understand that I will not be compensated for any time spent volunteering, nor am I entitled to benefits, including employment insurance benefits upon the termination of this agreement or as a result of this service.
I am aware that participation as a volunteer may require and is not limited to periods of riding in the back of a pick-up truck, walking on uneven terrain, digging, carrying rocks, and mixing concrete, and will require the exercise of reasonable care to avoid injury. I also realize that I could get sick from a variety of causes, including the water, food, or insects. I also realize that civil disturbances could disrupt the service trip, cause delays in return home, and even result in personal injury. I am voluntarily participating in this activity with knowledge of the hazards and potential dangers involved, and agree to accept any and all risks of personal injury and property damage.
As consideration for El Porvenir allowing me to participate on a work trip in Nicaragua or other El Porvenir activity, I hereby agree that I, and my assignees, heirs, guardians, and legal representatives, will not make a claim against or sue El Porvenir or its employees, agents or contractors for injury or damage resulting from the negligence, whether active or passive, or other acts, however caused, by any of its officers, employees, agents, or contractors of El Porvenir as a result of my volunteering. I HEREBY RELEASE AND DISCHARGE El Porvenir AND ITS OFFICERS, EMPLOYEES, AGENTS AND CONTRACTORS FROM ALL ACTIONS, CLAIMS, OR DEMANDS THAT I, MY HEIRS, GUARDIANS, AND LEGAL REPRESENTATIVES NOW HAVE, OR MAY HAVE IN THE FUTURE, FOR INJURY OR DAMAGE RESULTING FROM MY PARTICIPATION IN THE PROJECT.
I UNDERSTAND THAT IF I AM INJURED IN THE COURSE OF THE PROJECT, I AM NOT COVERED BY EL PORVENIR'S WORKERS’ COMPENSATION PROGRAM. I authorize El Porvenir to seek emergency medical treatment on my behalf in case of injury, accident or illness to me arising from my involvement as a volunteer. I understand that I will be responsible for medical costs incurred by such accident, illness or injury.
I understand that the materials and tools provided by El Porvenir are and remain the property of El Porvenir, and I agree to return these tools and any remaining materials to El Porvenir at the end of my volunteer service.
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY, AND SIGN IT OF MY OWN FREE WILL. I UNDERSTAND THAT SUBMITTING THIS WAIVER ONLINE IS THE EQUIVALENT OF AN ELECTRONIC SIGNATURE.