City of Austin
and
Festival
Beach Community Gardens
Volunteer
Consent, Liability Waiver/Release
Project:
_________________________________________
Project
Dates: _________ ___, 20____ through _________ ___, 20____
Project
Location: Festival Beach Park Community Garden
Consent,
Liability Waiver and Release:
The undersigned
Volunteer (or undersigned Parent /Guardian on behalf of the Volunteer
in the case of a Volunteer under the age of eighteen years) does hereby
agree to indemnify and hold harmless the City of Austin, Texas
(the "City") and Sustainable Food Center, Inc. DBA
Sustainable food Center (the "Non-Profit Organization "),
their officers, agents, and employees, from any and all claims or causes
of action that may arise out of performance of the undersigned Volunteer’s
assigned duties with respect to the project at the Project Location
during the Project Dates.
The undersigned
waive(s) and relinquishes any right of action against the City and the
Non-Profit Organization, their officers, agents, and employees, in connection
with the Volunteer’s participation in the project at the Project Location
during the Project Dates.
The undersigned Volunteer (or
Parent/Guardian) further authorizes the Volunteer’s image or likeness
of his/her image to be utilized in photography, videography, and promotional
materials related to this and other community events of City and Non-Profit
Organization.
If Volunteer
is under the age of 18 years, the undersigned Parent/Guardian hereby
consents to the Volunteer’s participation in the Project at the Project
Location during the Project Dates.
Volunteer Name:
____________________________________________________________
[Printed]
Address:
___________________________________________________________________
[Printed]
Email Address:
______________________________________________________________
Over 18 years
of age (circle one): Yes or No If No,
Parent/Guardian must sign for Volunteer
Parent/Guardian
Name: ________________________________________________________
[Printed]
________________________________________ Dated:
____________, 20___
Signature of
Volunteer or Parent/Guardian
City Waiver
Form/1 March 2010
