Volunteer Waiver Form



This Release and Waiver of Liability (the “Release”) executed on this day of _______________,20___, by ________________________ (the “Volunteer”) in favor of WE IMPACT, a nonprofit organization, registered in Texas, their directors, officers, employees, volunteers, and agents (collectively, “WE IMPACT”).

The Volunteer desires to work as a volunteer for WE IMPACT and engage in the activities related to being a volunteer (the “Activities”). The Volunteer understands that the Activities may include meeting several types of People, working in environment such as Correctional Facilities, Coming in contact and listening to  personal details of trauma victims or victims of human trafficking or victims of Domestic Violence and volunteering in difficult environment.

The Volunteer hereby freely, voluntarily, and without duress executes this Release under the following terms:

RELEASE AND WAIVER. Volunteer does hereby release and forever discharge and hold harmless WE IMPACT and its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from Volunteer’s Activities with WE IMPACT. Volunteer understands that this Release discharges WE IMPACT from any liability or claim that the Volunteer may have against WE IMPACT with respect to any mental trauma, bodily injury, personal injury, illness, death, or property damage that may result from Volunteer’s Activities with WE IMPACT, whether caused by the negligence of WE IMPACT or its officers, directors, employees, or agents or otherwise. Volunteer also understands that WE IMPACT does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness.

MEDICAL TREATMENT. Volunteer does hereby release and forever discharge WE IMPACT from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Volunteer’s Activities with WE IMPACT.

ASSUMPTION OF THE RISK. The Volunteer understands that the Activities include work that may be difficult to the Volunteer, including, but not limited to, physical and mental health hazard. Volunteer hereby expressly and specifically assumes the risk of injury or harm in the Activities and releases WE IMPACT from all liability for physical and mental injury, illness, death, or property damage resulting from the Activities.

INSURANCE. The Volunteer understands that, except as otherwise agreed to by WE IMPACT in writing, WE IMPACT does not carry or maintain health, medical, or disability insurance coverage for any Volunteer. Each Volunteer is expected and encouraged to obtain his or her own medical or health insurance coverage.

PHOTOGRAPHIC RELEASE. Volunteer does hereby grant and convey unto WE IMPACT all right, title, and interest in any and all photographic images and video or audio recordings made by WE IMPACT during the Volunteer’s Activities with WE IMPACT, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.

OTHER. Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Texas & the State of Georgia, and that this Release shall be governed by and interpreted in accordance with the laws of the State of Texas and the State of Georgia. Volunteer agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.

IN WITNESS WHEREOF, Volunteer has executed this Release as of the day and year first above written.

Witness: _________________________________________          Volunteer:_____________________________________



    Phone (Home/Cell): ____________________________

<Please Print and Sign the Waiver Form and Email it to WE IMPACT’s Volunteer Management Director (VMD@we-Impact.org)>