MEDIA RELEASE STATEMENT
I give Marillac St. Vincent Family Services permission to use any video or photography taken of me during my volunteer experience for their print and online marketing materials, including, but not limited to: newsletters, publications, brochures, social media posts, videos and website.
I hereby agree to regard all information received in the performance of my volunteer work for Marillac St. Vincent Family Services as confidential. I understand that Marillac St. Vincent Family Services respects the privacy of its programs, clients, staff, volunteers and donors. I agree to respect these privacy rights in the performance of any volunteer duties, and to keep professional confidentiality in all my statements outside of the agency.
LIABILITY RELEASE: UNCONDITIONAL RELEASE AND HOLD HARMLESS AGREEMENT
I desire to participate in various programs, events, activities or service projects (each, an “Activity” or “Activities”) sponsored, organized or operated, at least in part, by Marillac St. Vincent Family Services (MSV), and I understand and acknowledge that MSV will not allow me to participate in the Activities unless I first release and hold harmless MSV, its directors, employees, or other agents (collectively, “Agents”) from and against any damage and liability relating to or arising out of my participation in the Activities. I understand and acknowledge that my participation in an Activity exposes me to various risks, and I have considered these risks and possible dangers involved.
THEREFORE, in consideration of the permission extended to me by MSV through its Agents to participate in an Activity, I, for myself and for my heirs, legal guardians or representatives, successors and assigns (collectively, “Representatives”), agree to UNCONDITIONALLY RELEASE AND FOREVER DISCHARGE MSV and its Agents from any and all claims, demands, and causes of action of whatsoever nature, which I or my Representatives ever may have against any of them on account of or related to such Activities or my participation therein. I hereby assume any and all risks associated with my participation in and related to such Activity, and I unconditionally agree to hold MSV and its Agents blameless for any liability concerning my personal health and well-being, or any injuries incurred while participating in an Activity.
I have carefully read the foregoing, and I understand that my submission constitutes a full and complete release of MSV and its agents and an agreement to hold such parties harmless from any liability for all injuries incurred while participating in an Activity.
MY SUBMISSION OF THIS APPLICATION CERITFIES THAT I UNDERSTAND AND AGREE TO ALL OF THE ABOVE.