Please complete the following form prior to your young person volunteering with Good Works. We look forward to welcoming them as a volunteer.

Volunteer Release Form for Minors

Waiver of Liability for a Minor Volunteer

Volunteer Work Location

The undersigned minor, being under 18 years of age, has volunteered to work with Good Works, Inc., a nonprofit Pennsylvania Corporation (“Good Works”), to assist in the rehabilitation of substandard housing, making these homes warmer, safer and drier, in anticipation of increasing hope for the homeowners. The undersigned must be the parent or legal guardian of the minor. Good Works is committed to the highest safety standards in all its endeavors. By the nature of construction work to make substandard housing warmer, safer and drier, risks, both foreseeable and unforeseeable, are involved. By signing this Release and Indemnification, both the minor and parent or legal guardian acknowledge that they understand this. Therefore, intending to be legally bound, the minor and parent or legal guardian hereby agrees that on behalf of themselves and their heirs, successors and assigns:

  1. To have reviewed the volunteer policies and procedures found in the Good Works Volunteer Handbook.
  2. To assume the risk of injury and damage to personal property, resulting from the volunteer’s association with Good Works.
  3. To indemnify, defend and hold harmless Good Works and its officers, directors, employees, volunteers, agents and contractors and their successors and assigns from and against any and all claims, costs, damages and causes of action arising from any injury to the volunteer or damage to their personal property which occurs as a result of the volunteer’s association with Good Works, even if the personal injury or property damage is caused by the negligence of others.
  4. To irrevocably release, waive and forever discharge Good Works, its officers, directors, employees, volunteers, agents and contractors and their successors from and against any and all claims, costs, damages and causes of action asserted by any person or entity, and arising from any personal injury or property damage caused by the volunteer.

This release and waiver of liability agreement is a requirement for participation in any Good Works project. The scope of this agreement is not limited by time or location and is binding upon the volunteer throughout the volunteer’s association with Good Works.

Digital photos may be taken during the workday by our volunteer photographers for use on our Web site and for other promotional materials. If you do not want your picture to be used, please inform the photographer.

Note: Good Works has a liability insurance policy to protect itself and its staff/volunteers solely from claims by homeowners.

Minor Details

Minor's Name
We ask for the minor’s birth date because federal regulations require that our volunteers must be at least 15 years old.
The minor does have medical and health insurance coverage.
Address

Parent Details

Parent/Legal Guardian Name
Address
Clear Signature
MM slash DD slash YYYY