Volunteer Registration Form

Volunteer Personal Information


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MEDIA WAIVER: The undersigned person further consents to the unrestricted use by RTH, and/or any person authorized by them, of any photographs, video or film recordings, interviews, or similar visual or audio recording of them created in connection with this program.
MEDIA WAIVER:

The undersigned person further consents to the unrestricted use by RTH, Republic Services and/or any person authorized by them, of any photographs, video or film recordings, interviews, or similar visual or audio recording of them created in connection with this program. Specifically, the undersigned persons hereby (a) grants Rebuilding Together Houston and Republic Services the irrevocable and unrestricted world-wide right and permission (with the unrestricted right to make further grants of such right and permission to Rebuilding Together Houston’s affiliated organizations (including local affiliates) and other persons or entities acting with Rebuilding Together Houston’s (or any of its affiliated organizations’) authority and/or permission (collectively, “Sub-Grantees”)) to copyright in Rebuilding Together Houston’s (or any applicable Sub-Grantee’s) name or otherwise, and use, re-use, produce, reproduce, publish, store, distribute, re-distribute, transmit, retransmit and display my name, photographic, video, audio or other recordings of images of my likeness and/or statements by me, in or through any form of media now or hereafter known for illustration, promotion, art, editorial, advertising, trade, signage, internet, electronic commerce or any other purpose whatsoever; (b) irrevocably and unconditionally waive, on behalf of myself and my successors, assignees, heirs, guardians and legal representatives, any rights to royalties, proceeds or other amounts payable with respect to any of the foregoing and (c) consent to Rebuilding Together Houston’s, Republic Services’, or any such Sub- Grantee’s making of any such photographic, video, audio or other recordings in connection with my participation in the Project. The undersigned hereby releases, discharges and agrees to indemnify and hold harmless Rebuilding Together Houston’s , Republic Services, any Sub-Grantee and Rebuilding Together Houston’s, Republic Services’, and any Sub-Grantee’s respective directors, officers, employees and agents from and against any liability related to or arising out of any blurring, distortion, alteration, optical illusion or use in whole, part or composite form, whether intentional or otherwise, that may occur or be produced in the taking of any such photographic, video, audio or other recording or in any subsequent processing thereof, as well as any publication thereof, including without limitation any claims for libel or invasion of privacy.


COVID-19 SAFETY WAIVER: In order to protect the health of volunteers, homeowners, and

project visitors, Rebuilding Together has established COVID-19 safety protocols that all

volunteers must follow. By selecting I CONSENT, you acknowledge that you will adhere to the

following COVID-19 safety requirements.

a.    Not to participate in the Project if I have had a body temperature of 100.4 degrees or higher during the previous 14 days or have suffered any symptoms of the COVID-19 virus, the flu, or the common cold.

b.    Not participate if any resident of my home has symptoms of COVID-19, tested positive, or has been in contact with someone that has tested positive for COVID-19.

c.     To comply with all project management, sanitation and cleanliness and “social distancing” rules, policies and guidelines established by Rebuilding Together that are applicable to the Project, including with respect to hand washing, wearing a protective face mask and gloves, and using my best efforts to maintain an appropriate distance from others. 

d.    That I am participating in the Project at my own risk and understand that I may be exposed to persons carrying or who exhibit symptoms of the COVID-19 virus, and have voluntarily assumed such risk

e.    That by volunteering, I am releasing RTH and its employees, contractors, directors, officers, and others from any and all liability or claims that may arise from exposure to pathogens, including coronavirus and COVID-19, arising out of or relating to the volunteer activities.

COVID Safety Waiver     

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