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Disclaimer
MUNICIPAL VOLUNTEER PROGRAM
Work Release Form
VOLUNTEER’S AGREEMENT AND RELEASE FROM LIABILITY
1. Voluntary Participation: I acknowledge that I have voluntarily applied to serve as a volunteer for the City of Roanoke through the Municipal Volunteer Program (MVP), in which volunteers assist city departments. I understand as a volunteer that I will not be paid for my services, and should I be injured while performing duties on behalf of the City, the city provides insurance which offers limited medical benefits. This insurance has a $25,000 limit, is strictly excess and will only respond to expenses after all other insurance is exhausted.
2. Release: In consideration of the opportunity afforded me to serve as a volunteer for the City of Roanoke through the Municipal Volunteer Program (MVP), I hereby agree that I, my assignees, heirs, guardians, and legal representatives, will not make a claim against the City of Roanoke, or their officers or directors collectively or individually, or the equipment that is used by the City, or any of the volunteer workers, for the injury or death to me or damage to my property, however caused, arising from my participation in the Municipal Volunteer Program (MVP). Without limiting the generality of the foregoing, I hereby waive and release any rights, actions, or causes of action resulting from personal injury or death to me, or damage to my property, sustained in connection with my participation in the Municipal Volunteer Program (MVP). I further consent to the unrestricted use by City of Roanoke’s Municipal Volunteer Program (MVP) and/or person(s) authorized by them of any photographs, recordings, interviews, videotapes, motion pictures, or similar visual recording of me.
MUNICIPAL VOLUNTEER PROGRAM
Work Release Form
VOLUNTEER’S AGREEMENT AND RELEASE FROM LIABILITY
1. Voluntary Participation: I acknowledge that I have voluntarily applied to serve as a volunteer for the City of Roanoke through the Municipal Volunteer Program (MVP), in which volunteers assist city departments. I understand as a volunteer that I will not be paid for my services, and should I be injured while performing duties on behalf of the City, the city provides insurance which offers limited medical benefits. This insurance has a $25,000 limit, is strictly excess and will only respond to expenses after all other insurance is exhausted.
2. Release: In consideration of the opportunity afforded me to serve as a volunteer for the City of Roanoke through the Municipal Volunteer Program (MVP), I hereby agree that I, my assignees, heirs, guardians, and legal representatives, will not make a claim against the City of Roanoke, or their officers or directors collectively or individually, or the equipment that is used by the City, or any of the volunteer workers, for the injury or death to me or damage to my property, however caused, arising from my participation in the Municipal Volunteer Program (MVP). Without limiting the generality of the foregoing, I hereby waive and release any rights, actions, or causes of action resulting from personal injury or death to me, or damage to my property, sustained in connection with my participation in the Municipal Volunteer Program (MVP). I further consent to the unrestricted use by City of Roanoke’s Municipal Volunteer Program (MVP) and/or person(s) authorized by them of any photographs, recordings, interviews, videotapes, motion pictures, or similar visual recording of me.
Check here to show you accept the terms stated above for yourself or for a minor Volunteer for which you are the parental guardian.
