UNITED To End Hunger Waiver

Click here to print Waiver/Media Release.

If under 18, you are required to bring a copy signed by your parent or gardian with you to the event on April 21, 2018.


Waiver, Informed Consent and Release of Liability                Agreement Form

The undersigned, in consideration for acceptance, approval and participation in United Way Montcalm-Ionia (UWM)I and Montcalm Community College (MCC) Joint Volunteer events, agrees to this waiver, consent, and release of liability.

I recognize that UWMI and MCC Joint Volunteer events may involve strenuous physical activity and labor and may carry a risk of personal injury. I further recognize that there are natural and manmade hazards, environmental conditions, diseases and other risks, which in combination with my actions can cause injury to me. I hereby agree to assume all risks which may be associated with or may result from my direct or indirect participation in UWMI Volunteer events. I am not aware of any physical or medical condition that would interfere with my ability to participate in Day of Caring.

I agree to waive, release and discharge United Way of Montcalm-Ionia Counties, Montcalm Community College and its agencies, departments, officers, employees, agents, sponsors, representatives, affiliates, directors, governors, and volunteers from any and all liability, claims, demands, actions, and causes of actions, whatsoever, for any personal injury, loss, claim, damage, illness, death, property damage, attorney fees, or harm of any nature arising out of my participation in UWMI and MCC Joint Volunteer events. These releases are effective for me, my personal representatives, assigns, and heirs.

I further agree to indemnify, save, and hold United Way of Montcalm-Ionia Counties, Montcalm Community College, and its agencies, departments, officers, employees, agents, sponsors, representatives, affiliates, directors, governors, and volunteers from and against any and all claims of any nature, including all costs, expenses, and fees arising out of or from my participation in UWMI and MCC Joint Volunteer events.

I am in adequate physical condition to participate in UWMI and MCC Joint Volunteer events. I acknowledge that approval from my physician to participate in UWMI and MCC Joint Volunteer events is strongly suggested. In the event of injury causing incapacitation while participating in any and all activities associated with UWMI and MCC Joint Volunteer events, I consent to receive any emergency medical aid, anesthesia, and/or medical treatment or operation if deemed appropriate by a medical professional.

I know that if I become injured while participating in UWMI and MCC Joint Volunteer events, I am responsible for my health care expenses and I have made arrangements to handle such expenses through insurance coverage, access to cash, or other methods.

By participating in UWMI and MCC Joint Volunteer events, I acknowledge that I may be photographed or videotaped during the course of the event. I grant full and unlimited permission to United Way of Montcalm-Ionia Counties, Montcalm Community College and The Outreach Program to use, copyright, sell, publish or assign my name, photograph or likeness, or any multi-media record of participation in UWMI and MCC Joint Volunteer events in any/all illustrative or printed matter, story or news item, television spots, world wide web publishing, or for publicity, advertising, or any other lawful purpose whatsoever, in conjunction with my own or fictitious name, or in reproductions thereof in color or otherwise, and acknowledge United Way of Montcalm-Ionia Counties, Montcalm Community College, and The Outreach Program’s right to crop or treat the photograph at its discretion without notice or compensation.

I, the undersigned participant of UWMI and MCC Joint Volunteer events, have carefully read this agreement, fully understand its contents and provisions, and voluntarily sign this document without force or coercion. I agree that if any portion of this agreement is held invalid, the remainder will continue in full legal force and effect.