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PLEASE BE SURE TO CLICK “SIGN ME UP” AFTER COMPLETING YOUR FORM.
IF YOU DO NOT RECEIVE AN EMAIL CONFIRMATION, PLEASE CONTACT GLORIA AT GWRAYMOND@BROWARDHEALTH.ORG
Waiver of Liability & Media Release
By signing up for any volunteer project on this site, you certify that you understand and have read the below carefully.
I, the undersigned, desire to work as a volunteer for Broward Health’s Children’s Diagnostic & Treatment Center (“CDTC”) in Fort Lauderdale, Florida, and engage in the activities related to being a volunteer. I hereby freely and voluntarily execute this Volunteer Release and Waiver of Liability under the following terms:
I understand that my participation as a volunteer may expose me to risks of bodily injury, personal injury, illness, death, or property damage. Further, I acknowledge that I may be exposed to risks that may not be foreseeable. I knowingly and freely assume all such risks and voluntarily participate.
I certify that, to the best of my knowledge, I am medically, physically, and otherwise able to participate in the activities required to serve as a volunteer.
I understand that CDTC does not provide insurance coverage for my participation as a volunteer.
In consideration for being permitted to perform volunteer services, I, for myself, my heirs, personal representatives, and assigns, do hereby release, indemnify, and hold harmless CDTC, and its respective officers, employees, agents, and volunteers, from and against any and all claims, demands, rights, expenses, and causes of action arising from or by reason of any personal injury, bodily injury, property damage, or the consequences thereof, whether foreseeable or not, resulting from or in any way connected with my participation as a volunteer.
I hereby release and forever discharge CDTC from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my tenure as a volunteer with CDTC.
Further, I agree that I will not take legal action against CDTC, its agents, or its employees for any claim for damages arising out of my participation in activities as a volunteer, whether caused by negligence or otherwise.
I consent to and authorize the use of my image (either still or motion picture), voice, and/or likeness by CDTC through any media now and in the future. I understand that I will receive no compensation in connection with the use of my image, voice, and/or likeness.