I understand and agree that submitting this application form does not automatically register me as a Community Resource Center volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering and by submitting this form, I attest that the information I have provided on the form is true and accurate.
ADULT RELEASE AND WAIVER OF LIABILITY AND INDEMNITY
In consideration of my voluntary participation with Community Resource Center, I hereby agree to the following:
I hereby release, waive, indemnify and hold harmless Community Resource Center, its directors, officers, employees and volunteers from any loss, liability, and damage due to my voluntary participation with Community Resource Center.
I hereby assume full responsibility for the risk of bodily injury, death or property damage.
I further agree that the foregoing release and waiver of liability and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the state of California, and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. I have read and voluntarily sign the release and waiver of liability and indemnity agreement, and further agree that no oral representations, statements or inducements, apart from the foregoing written agreement, have been made.
I (we) give permission to Community Resource Center to use photographs, and/or video, and/or audio of myself and/or my (our) child obtained while participation as a volunteer with the Agency. I(we) release the Agency from any and all liabilities arising from the use of these items for publicity purposes and waive the right to all negatives, photos, tapes and reproductions, as well as waive my(our) right to inspect or approve the finished photographs and/or tapes.
PARENTAL PERMISSION for youth under age 18
In consideration of the opportunity afforded my (our) child to participate on a voluntary basis with the Community Resource Center (Agency), I (we) give my (our) permission for to participate in Agency programs, projects, and special projects. I (we), on behalf of my (our) child and myself (ourselves), waive any right, claim, claim of responsibility or liability, or cause of action arising as a result of my (our) child’s participation as a volunteer with the
Agency from which any liability may or could accrue against the Agency or its officers, directors, employees, or representatives, collectively or individually. Without limiting the generality of the above, I (we), on behalf of my (our) child and myself (ourselves), agree that this waiver shall include any rights, claims, claims of responsibility or liability or causes of action resulting from personal injury to my (our) child or damage to my (our) child’s property sustained in connection with his/her activities with the Agency; and agree to indemnify the Agency and its officers, directors, employees, or representatives, collectively or individually, from any such claims.
***If you are under 18, checking "I agree" means your parent or guardian agrees to the above.
VOLUNTEER CONFIDENTIALITY AGREEMENT
Community Resource Center (CRC) recognizes as our highest priority, the privacy, confidentiality, and security of our clients. In the course of conducting business, volunteering, or other matters, the location of Community Resource Center’s domestic violence facility may have been or may need to be disclosed to you. Please read and sign the below confidentiality agreement to help insure the safety of our clients.
I agree that I will not discuss the location of the facility or its whereabouts with anyone outside of the CRC staff.
I further agree that I will not violate the confidentiality, privacy, or security of any residents or clients of CRC, as well as any domestic violence hotline callers, through discussion of them, their names, descriptions, or personal circumstances.
I will not discuss any information offered to me by a resident with anyone other than applicable CRC staff.
I am aware that disclosure of the location of CRC’s domestic violence facility or any other designated safehouse is a misdemeanor under California Penal Code Section 273.7
I understand that any violation of this agreement could result in disciplinary action, termination, and referral to the appropriate legal authority.