Hold Harmless Agreement -
As a volunteer staff member of Mission of Mercy, Inc., I am fully aware of the potential risks of illness, injury, and/or infection involved in the scope of medical services that will be provided by me and others involved with Mission of Mercy. I also acknowledge that the standard and prescribed measures to minimize these risks are being followed by Mission of Mercy.
I shall be solely responsible for and shall indemnify and save harmless Mission of Mercy, Inc., its Board of Directors, administration and staff, from and against all liability, loss, cost, detriment, damages and expenses, including medical and financial responsibility, for any illness, injury and/or infection incurred by me during or after my time as a volunteer staff member.
Consent to Photograph -
As a volunteer/staff member of Mission of Mercy, Inc., acknowledge that Mission of Mercy publishes newsletters, websites, etc. that promote the charitable work of Mission of Mercy. I hereby give my consent for Mission of Mercy, its Board of Directors, administrators and staff to use any photograph or images of me in any editorial or promotional material.
I understand and agree that submitting this application form does not automatically register me as a Mission of Mercy 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.
By submitting this form, I attest that the information I have provided on the form is true and accurate.