Waiver for SOLVE & Northwest Trail Alliance Volunteers at THPRD Sites
Please complete this form if you are a SOLVE adoption volunteer at a THPRD site.
If you are signing off for your child to volunteer, please enter the name and date of birth of your child.
Preferred first name/ Nombre preferido:
Last name/ Apellido:
Legal First Name/Nombre oficial:
Date of birth/ Fecha de nacimiento:
Are you volunteering through SOLVE or the Northwest Trail Alliance?
Parent/Legal Guardian Consent (required for youth)
You must provide your legal name in the box below to indicate that you give consent for your child to volunteer and that you have read and agree to the volunteer waiver below.
E-Signature of Parent/Guardian: (first & last name)
Volunteer Insurance Waiver & Consent Agreement
Read this document completely before signing. Its effect is to release the Tualatin Hills Park & Recreation District ("THPRD") and its representatives from any liability resulting from your participation as a volunteer and to waive all claims for damages or losses against THPRD and its representatives that may arise from such participation.
Staff or volunteers may photograph or video volunteers and use the images for volunteer appreciation and outreach purposes. Images are the property of THPRD. By signing this form, you acknowledge and agree to such use.
As a volunteer, you are NOT covered by the Park District's Workers Compensation program. You are, therefore, urged to have your own health insurance in the event you are injured while performing your volunteer duties.
You ARE covered by THPRD's General Liability Fund. This will protect you in the event of property damage or accidental injury to the public as a result of your performance of volunteer duties assigned by THPRD.
Volunteers are not authorized to drive THPRD or personal vehicles as part of his/her duties, but may on occasion be authorized to operate off-road equipment. If you operate off-road equipment, you must have a valid Oregon Driver's License. You will be covered for property damage or bodily injury to others resulting from an accident. You should have your own health insurance to cover yourself.
Release. In consideration of the right to participate in volunteer activities, I hereby forever waive, release, and discharge THPRD and its individual directors, officers, agents, employees, volunteers, representatives, officials, and any other persons or entities acting on its behalf, and their successors and assigns (the "Released Parties") from any and all liability, claims, demands, actions, expenses (including attorney fees), damages, judgments, liabilities, and causes of action whatsoever, known or unknown (together, "Claims") arising from the fault or negligence of the Released Parties, including without limitation Claims for or related to death, disability, personal injury, property damage, property theft, or actions or injury of any kind which may occur to me arising out of participation in volunteer activities. The releases and waivers provided under this paragraph do not apply in cases of the Released Parties' gross negligence or willful misconduct.
I have read and understand the foregoing information on volunteers and insurance. If I am injured, I understand I will not have a claim against THPRD for injury and damages. I also give my consent to THPRD to conduct a background check. If your child is under 18 years old, the parent/guardian is responsible for arranging timely transportation to and from the volunteer activity.
All Tualatin Hills Park & Recreation District ("THPRD") volunteers 18 years of age and older must read and sign this acknowledgment. Failure to submit a signed acknowledgment will prevent you from volunteering for THPRD.
The novel coronavirus ("COVID-19") is a contagious disease that has been declared a global pandemic by the World Health Organization. Although some individuals with COVID-19 may never become symptomatic or may not show symptoms for a period of time, COVID-19 can be life-threatening. Health experts are still learning how COVID-19 is spread from infected persons to others, though they believe that transmission may occur through the air, close personal contact, and contact with a surface that has the virus on it. There is no current vaccine for COVID-19. In addition, the Centers for Disease Control and Prevention have identified certain health factors that put individuals at higher risk for severe illness in the event they contract COVID-19. These health factors can be found at https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-at-higher-risk.html.
The health and safety of volunteers is important to THPRD. In an effort to mitigate the risk of COVID 19 spreading at THPRD events and activities, THPRD is implementing a number of new safety rules and protocols, including:
- Pre-registering volunteers for projects;
- Asking volunteers to bring their own gloves, hand sanitizer, face masks, tools, water, and snacks;
- Maintaining smaller group sizes and abiding by the 6-foot physical distancing guidelines;
- Requiring volunteers to wear face masks when indoors or physical distancing is not an option;
- Reducing touchpoints; and
- Increased sanitation procedures.
Volunteers must review the complete list of THPRD's COVID-19 safety rules for volunteers, which will be provided in advance of the initial volunteer shift. Volunteers are expected to follow all COVID-19 safety rules while volunteering at THPRD events and activities. In addition, volunteers may not attend a THPRD volunteer activity or event if:
- Within the prior 14 days, the volunteer has had a presumptive positive test for COVID-19, a positive test for COVID-19, or direct exposure to a person infected with COVID-19.
- Within the prior 10 days, the volunteer or anyone within the volunteer's household developed a new cough, fever, shortness of breath, or other symptoms of COVID-19. In addition to this 10-day period, volunteers must be without a fever (without the use of fever reducing medication) or other COVID-19 symptoms for 72 hours before volunteering at a THPRD activity or event. A list of symptoms can be found on the COVID-19 websites for the Oregon Health Authority (https://govstatus.egov.com/OR-OHA-COVID-19) and Centers for Disease Control and Prevention (https://www.cdc.gov/coronavirus/2019-nCoV/index.html).
Volunteers must report to Melissa Marcum, email@example.com or 503-619-3941, as soon as possible if, within 14 days of volunteering for THPRD, the volunteer has a presumptive positive test for COVID-19, a positive test for COVID-19, or direct exposure to a person infected with COVID-19. THPRD may be required to notify public health authorities if it learns that a volunteer has or has been exposed to COVID-19.
Despite the COVID-19 safety rules and protocols that THPRD is implementing, THPRD cannot eliminate the risk that volunteers are exposed to COVID-19 during a THPRD volunteer activity or event.
Please direct any questions or concerns about THPRD's COVID-19 safety rules and protocols for volunteer events and activities to Melissa Marcum, firstname.lastname@example.org or 503-619-3941.
By my signature below:
- I acknowledge that I have read this COVID-19 Acknowledgement of Risk and Agreement to Follow Safety Rules.
- I agree to follow and/or ensure that my child follows all THPRD COVID-19 safety rules for volunteers and comply with all safety instructions from THPRD staff members.
- I understand and acknowledge that despite THPRD's COVID-19 safety rules and protocols, THPRD cannot eliminate the risk that I and/or my child are exposed to COVID-19 at a THPRD volunteer activity or event.
- I attest that I and/or my child are voluntarily participating in a THPRD volunteer activity or event.
- By clicking 'I Agree' below, I fully understand the information provided herein and agree to the terms.
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