Volunteer & Consultant Release Form
Empowering Military Families and Communities
BLUE STAR FAMILIES, INC.
WAIVER, RELEASE, AND PROTECTIVE AGREEMENT
I, the undersigned, an individual residing in the State/Country below, agree to volunteer my time, skill and effort to Blue Star Families, Inc. or work with Blue Star Families, Inc., a Georgia non-profit corporation (“BSF”) in its programs and other activities conducted, coordinated and/or sponsored by BSF (each a “Program” and together, the “Programs”).
Volunteer/Consultant Information
I intend to work or volunteer with BSF to further its mission of supporting the families of military service members and educating the public with respect to issues affecting military service members and their families, and for other related purposes.
I hereby represent and warrant the following to BSF:
1. I am at least eighteen (18) years of age;
2. I am physically fit and sufficiently trained to participate in all activities associated with any Program or event in which I choose to participate;
3. My participation in any or all Programs is voluntary; and
4. I have not been convicted of a crime nor am I the subject of any pending criminal investigation.
Waiver and Release of Liability
1. I understand and agree that the nature of the Programs may involve physical activity, contact with unidentified and/or unfamiliar persons, or other potential risks of bodily injury, property damage or death. I further understand the risks and dangers involved in such activities and am prepared to assume all such risks and dangers as my sole responsibility. Knowing this and in consideration of being able to work with or volunteer with BSF, I hereby assume full and complete responsibility for any personal injury and/or property damage that I may sustain or cause during my participation in any Program.
2. In addition, I hereby release, indemnify, hold harmless and covenant not to file suit against BSF and any of its officers, directors, employees, volunteers, partners, agents, representatives, members, contractors, sponsors, and successors from any and all loss, liability, expenses or claims that may arise out of my participation as a volunteer or consultant.
3. I understand and agree that this Waiver and Release Agreement will have the effect of releasing, discharging, waiving, and forever relinquishing any and all actions or causes of action that I may have or have had, whether past, present or future, whether known or unknown, and whether anticipated or unanticipated by me arising out of my participation in any Program.
Release of Liability related to COVID-19 and other Communicable Diseases
In consideration of registering for an event held by, or sponsored by Blue Star Families (“the company”), I hereby acknowledge and agree on behalf of myself, my organization and its affiliates, and my guests and their parents and guardians that with respect to any in-person event or a group viewing of a virtual event through held by, or sponsored by Blue Star Families: I have confirmed or will confirm prior to the event that (i) no participant, attendee, organizer, guest, or another individual associated with you or your organization (the “Group Person”) nor any person in the household of a Group Person has been diagnosed with COVID-19 or other communicable disease by a medical professional, or been exposed to COVID-19 or other communicable disease within the last 14 days; and (ii) no Group Person nor anyone in their household is currently experiencing any of the following symptoms: fever, fatigue, cough, difficulty breathing, sore throat or loss of smell or taste.
I also waive and release all legal rights to claim, sue or attempt to hold liable Blue Star Families, and/or its officers, directors, employees, agents and representatives for any illness, injury, death or damage sustained in connection with a Group Person’s participation in the event, including but not limited to the contraction of COVID-19.
I acknowledge that I am 18 years of age or older, have read this Release of Liability carefully and understand its meaning and you agree to be bound by this Release of Liability.
Insurance
I understand that, except as otherwise agreed to by BSF in writing, BSF does not carry or maintain health, medical, dental or disability insurance coverage for any volunteer, consultant, or employee. Each volunteer, consultant, or employee, including me, is expected and encouraged to obtain medical or health insurance coverage prior to participation in any Programs.
Media Release
In consideration for the opportunity to participate in a Program as a volunteer for BSF, I hereby:
(i) irrevocably authorize and consent to the filming, taping, photography, and recording (in any form or medium) of me and all my volunteer activities associated with a Program, by BSF and its agents and designees;
(ii) acknowledge and agree that all films, tapes, photographs, recordings, transcripts, writings, and other materials made by BSF or on its behalf that contain my name, likeness, appearances, voice, statements, biographical information (as provided by me), and/or any other depiction or identification of me in connection with my volunteer activities associated with a Program (collectively, “Program Materials”), including all copyrights therein and thereto, will be owned solely and exclusively by BSF, and that BSF and its authorized third parties will have unlimited and restricted rights (without any obligation) to reproduce and make derivative works from such Program Materials and to publicly display, publicly perform, broadcast, transmit, publish, distribute, and otherwise use and exploit such Program Materials and/or any derivative works thereof, in perpetuity and throughout the world, in any and all media now known or hereafter developed (including, without limitation, broadcast, print, electronic and online media) and for any and all lawful purposes (including, without limitation, advertising, promotional, publicity, editorial, educational, public relations, charitable, and fundraising purposes); and
(iii) further acknowledge and agree that any use or exploitation of the aforementioned Program Materials will be at the sole and complete discretion of BSF and its authorized third parties, and that if they decide to use or exploit the aforementioned Program Materials in any form or medium, BSF and its authorized third parties will have no obligation or liability to me whatsoever and I will have no right or claim to any compensation, payment, credit, attribution, notice, approval or inspection of any kind whatsoever with respect to any such use or exploitation.
Professionalism
I understand that I am expected to represent Blue Star Families in a professional manner at all times both in person and via social media outlets.
Confidentiality
It has always been the policy of BSF to maintain open communication with all of our consultants and volunteers. In order to maintain this open communication, every consultant and volunteer should use the utmost discretion when discussing BSF business with those outside of the organization. Failure to sign this Waiver, Release and Protective Agreement will result in termination or discontinuation of services.
1. Definition: “confidential information” means any information I obtain in the course of volunteering with BSF, including, but not limited to, the demographic or contact information of any BSF participant, BSF proprietary business information, BSF trade secrets, personal information of BSF personnel and any other information that is not otherwise publicly disclosed or available.
2. Duty of Confidentiality: I agree to hold in confidence any Confidential Information I receive in the course of my volunteering with BSF. I will use the Confidential Information I receive exclusively for the purpose of carrying out my duties with BSF and will not disclose, publish, reveal, divulge or make known to any person, firm, corporation, or any other business organization or use in any manner for myself or for others, any Confidential Information either before or after the termination of my activities under this Agreement. I also agree that I will not use the Confidential Information in any manner that could be arguably detrimental to BSF, its Members and Program participants.
3. Indemnification: I agree to indemnify BSF if I disclose any such Confidential Information.
For more information on the confidential nature of our business or this Waiver Release, please contact the Operations team at operations@bluestarfam.org.
I understand that a breach of my obligation to maintain confidential information could lead to disciplinary action, up to and including, termination.
I acknowledge that I have read this Waiver and Release Agreement and that I understand the words and language in it. I also understand that this Waiver and Release Agreement is valid for the duration of time that I participate in any BSF Program and thereafter.
I also understand that this Waiver and Release Agreement is valid for one year from the date of signature.