Individual or Group (Required) Individual Group Please state if reason for volunteering is court ordered community service. Name (Required)
(Required) Emergency Contact Name (Required)
Skills/Interest/Education (Required) Release of Liability (Required)
I hereby fully and forever waive, release and relinquish and all claims, demands and actions whatsoever that I may have or may accrue to me against Switchpoint Community Resource Center, officers, agents, volunteers and employees arising out of this activity and/or any volunteer activity associated with or connected with this activity. Furthermore, I agree to indemnify and hold harmless and defend Switchpoint Community Resource Center, from any and all claims and actions resulting from injuries, damages and losses sustained by me arising out of, connected with or in any way associated with this volunteer position.
I have read this agreement and fully understand its content and sign it of my own free will. I further
certify that I am (18) years of age or the parent/legal guardian of a minor participant. I agree Statement of Confidentiality (Required)
As condition of being involved with persons seeking assistance from Switchpoint Community Resource Center, I agree to keep confidential any information shared with me. I understand that no information concerning clients shall be released to other agencies or persons without signed, written consent of those involved.
I recognize that the unauthorized release of confidential information may make me subject to civil action. I further understand that violation of this agreement is grounds for termination of my service. I agree Volunteer Handbook Confirmation (Required)
I acknowledge receipt of the Volunteer ("Handbook") of the Switchpoint Community Resource Center. I understand that it is my responsibility to read and comply with Switchpoint Community Resource Center guidelines contained in the handbook. If I have any questions about information contained in the handbook, I will ask my supervisor or the Volunteer Coordinator for clarification. I understand that revised information may modify existing guidelines.
I further understand that my failure to uphold the volunteer guidelines may result in dismissal from the volunteer program. I have read and understand the above statements and agree to read the handbook. I agree Audio/Photo/Video Media Release Form (Required)
I grant permission to Switchpoint and its agents or employees to use photographs and/or video and audio taken of me. These images may be used in educational and documentary materials such as Public Service Announcements, Grant Applications, Video Documentaries and both printed and online newsletters.
Furthermore, I authorize the use of my image, likeness, and voice for all program promotion, materials, and any other purposes in connection with the program deemed appropriate and necessary by Switchpoint.
I hereby agree to release, defend, and hold harmless Switchpoint and its agents or employees, including any firm publishing and/or distributing the finished product in whole or in part, whether on paper, via electronic media, or on Websites, from any claim, damages, or liability arising from or related to the use of the photographs/video, including but not limited to any misuse, distortion, blurring, alteration, optical illusion, or use in composite form, either intentionally or otherwise, that may occur or be produced in taking, processing, reduction, or production of the finished product, its publication, or distribution. I agree