Volunteer Interest Form

Your Contact Information

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The field Cell Phone Number is required.
The maximum length for the field Please list any medical conditions or allergies: is 500 characters.
The field Are you a member of Thrivent Financial? is required.
The maximum length for the field If yes, which branch? is 500 characters.
The maximum length for the field List any skills and talents you have. is 500 characters.

* By agreeing to this release and waiver of liability the volunteer (person agreeing) in favor of Habitat for Humanity International, Inc, a nonprofit corporation, and Midland County Habitat for Humanity, a Michigan nonprofit corporation, their directors, officers, employees and agents (collectively, "Habitat"). The Volunteer desires to work as a volunteer for Habitat and engage in the activities related to being a volunteer (the "Activities"). The Volunteer understands that the Activities may include constructing and rehabilitating residential buildings, working in the Habitat offices, and living in housing provided for volunteers of Habitat.

 

* The Volunteer hereby freely, voluntarily, and without duress executes this Release and Waiver: Volunteer does hereby release and forever discharge and hold harmless Habitat 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 Habitat. Volunteer understands that this Release discharges Habitat from any liability or claim that the Volunteer may have against Habitat with respect to any bodily injury, personal injury, illness, death, or property damage that may result from Volunteer's Activities with Habitat, whether caused by the negligence of Habitat or its officers, directors, employees, or agents or otherwise. Volunteer also understands that Habitat 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.

 

* The volunteer hereby freely, voluntarily, and without duress executes this Release under the following terms: Medical Treatment: Volunteer does hereby release and forever discharge Habitat 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 Habitat.

 

* The volunteer hereby freely, voluntarily, and without duress executes this Release under the following terms: Assumption of the Risk. The Volunteer understands that the Activities may include work that may be hazardous to the Volunteer, including but not limited to, construction, loading and unloading, and transportation to and from the work sites. Volunteer hereby expressly and specifically assumes that risk of injury or harm in the Activities and releases Habitat from all liability for injury, illness, death, or property damage resulting from the Activities.

The volunteer hereby freely, voluntarily, and without duress executes this Release under the following terms: Insurance. The Volunteer understands that, except as otherwise agreed to by Habitat in writing, Habitat does not carry or maintain health, medical, or disability insurance coverage for any Volunteer.

 

* The volunteer hereby freely, voluntarily, and without duress executes this Release under the following terms: Other. Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Michigan, and that this Release shall be governed by and interpreted in accordance with the laws of the State of Michigan, and that this release shall be governed by and interpreted in accordance with the laws of the State of Michigan. 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.