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Disclaimer
Who is this registration for?
Please provide a name and email address for a parent or guardian, they will need to sign off for you.
Parent/guardian first name:
Parent/guardian email:
Volunteer Agreement
STATEMENT OF FAITH
By reading and checking the box below, I acknowledge that I am in agreement with the UGM of Salem Mission Statement and Statement of Faith and am willing and able to assist in carrying out the ministry of UGM while donating my time.
CONFIDENTIALITY
As a volunteer at UGM, I understand that I may work with donor information, staff information, and resident or guest information that may be confidential in nature. I will not discuss this information with anyone who is not directly involved in these areas. I understand that failure to maintain confidentiality may result in immediate release from my volunteer commitment at UGM. The obligation to comply with this policy continues after my volunteer commitment with UGM ends. I understand no pictures are to be taken of clientele without a signed release from the Mission and the client involved.
BACKGROUND
I hereby confirm and warrant that I have not been convicted of or charged with a violent crime, child abuse or neglect, child pornography, child abduction, kidnapping, rape or any sexual offense, nor have been ordered by a court to receive psychiatric or psychological treatment in connection therewith.
PHOTO RELEASE
I, the undersigned, agree to appear in print, online or video to be produced by UGM or any approved agency that the UGM works with, for the purpose of describing or promoting my experience with, and the activities of UGM. I give UGM and its approved agencies my unrestricted permission to reproduce and distribute all photographs, video recordings, sound recordings, and/or interviews taken of me, as well as any artwork (all media) or written material produced by me while associated with Union Gospel Mission of Salem. I understand that there will be no compensation or damages for the use of these interviews, photographs, recordings of video and sound, and personal artwork and/or written and online material.
WAIVER AND RELEASE
I agree to hold Union Gospel Mission of Salem, Oregon harmless from any, and all liability, or cause of action and losses imposed on it in any way relating to or arising out of the Volunteer Agreement, including, but not limited to, liability for personal injuries, whether the liability, cause of action, or loss, is caused by negligence, or Union Gospel Mission of Salem, Oregon negligence or otherwise.
I further release Union Gospel Mission of Salem, Oregon from any, and all liability, claims, demands or actions or causes of action whatsoever arising out of damage, loss or injury I might incur while participating in any of the activities contemplated by the Volunteer Agreement, whether such damage, loss, or injury is caused by the negligence of Union gospel Mission of Salem, Oregon, its offices, agents, servants, employees or otherwise.
I hereby agree that UGM is not responsible for any of my personal items that may be lost or damaged during the volunteer period. As a volunteer, I am not protected by any worker’s compensation insurance, nor do I have any other benefits normally associated with employment.
I have read the information and I certify that the foregoing personal information is true and correct. I authorize UGM to inquire with my employers or references as needed, and I agree that UGM may, at its discretion, terminate my volunteer assignment at any time for any reason. I authorize UGM to perform a background screening for criminal history.
Volunteer Agreement
STATEMENT OF FAITH
By reading and checking the box below, I acknowledge that I am in agreement with the UGM of Salem Mission Statement and Statement of Faith and am willing and able to assist in carrying out the ministry of UGM while donating my time.
CONFIDENTIALITY
As a volunteer at UGM, I understand that I may work with donor information, staff information, and resident or guest information that may be confidential in nature. I will not discuss this information with anyone who is not directly involved in these areas. I understand that failure to maintain confidentiality may result in immediate release from my volunteer commitment at UGM. The obligation to comply with this policy continues after my volunteer commitment with UGM ends. I understand no pictures are to be taken of clientele without a signed release from the Mission and the client involved.
BACKGROUND
I hereby confirm and warrant that I have not been convicted of or charged with a violent crime, child abuse or neglect, child pornography, child abduction, kidnapping, rape or any sexual offense, nor have been ordered by a court to receive psychiatric or psychological treatment in connection therewith.
PHOTO RELEASE
I, the undersigned, agree to appear in print, online or video to be produced by UGM or any approved agency that the UGM works with, for the purpose of describing or promoting my experience with, and the activities of UGM. I give UGM and its approved agencies my unrestricted permission to reproduce and distribute all photographs, video recordings, sound recordings, and/or interviews taken of me, as well as any artwork (all media) or written material produced by me while associated with Union Gospel Mission of Salem. I understand that there will be no compensation or damages for the use of these interviews, photographs, recordings of video and sound, and personal artwork and/or written and online material.
WAIVER AND RELEASE
I agree to hold Union Gospel Mission of Salem, Oregon harmless from any, and all liability, or cause of action and losses imposed on it in any way relating to or arising out of the Volunteer Agreement, including, but not limited to, liability for personal injuries, whether the liability, cause of action, or loss, is caused by negligence, or Union Gospel Mission of Salem, Oregon negligence or otherwise.
I further release Union Gospel Mission of Salem, Oregon from any, and all liability, claims, demands or actions or causes of action whatsoever arising out of damage, loss or injury I might incur while participating in any of the activities contemplated by the Volunteer Agreement, whether such damage, loss, or injury is caused by the negligence of Union gospel Mission of Salem, Oregon, its offices, agents, servants, employees or otherwise.
I hereby agree that UGM is not responsible for any of my personal items that may be lost or damaged during the volunteer period. As a volunteer, I am not protected by any worker’s compensation insurance, nor do I have any other benefits normally associated with employment.
I have read the information and I certify that the foregoing personal information is true and correct. I authorize UGM to inquire with my employers or references as needed, and I agree that UGM may, at its discretion, terminate my volunteer assignment at any time for any reason. I authorize UGM to perform a background screening for criminal history.
Check here to show you accept the terms stated above for yourself or for a minor volunteer for which you are a parental guardian.
**Union Gospel Mission Volunteer Waiver Form for Minors**
**Consent and Waiver:**
I, the undersigned, am the parent or legal guardian of the minor named above (hereinafter referred to as "Minor"). I hereby give my full consent and permission for Minor to participate in volunteer activities with Union Gospel Mission (hereinafter referred to as "Organization").
I understand that the activities may include, but are not limited to, manual labor, interaction with community members, participation in events, and other volunteer tasks as assigned by the Organization. I acknowledge and agree that:
1. **Assumption of Risk:** I understand that there are inherent risks associated with volunteer activities, including, but not limited to, physical injury, emotional stress, and exposure to various environmental factors. I voluntarily assume all risks associated with Minor's participation.
2. **Release of Liability:** I, on behalf of myself, Minor, and our respective heirs, assigns, and next of kin, hereby release, waive, and discharge the Organization, its directors, officers, employees, agents, and volunteers from any and all claims, liabilities, costs, and expenses arising out of or related to Minor's participation in volunteer activities, whether caused by negligence or otherwise.
3. **Medical Treatment:** In the event of an emergency, I consent to any necessary medical treatment for Minor. I understand that I will be responsible for any medical expenses incurred.
4. **Indemnification:** I agree to indemnify and hold harmless the Organization from any and all claims, actions, suits, procedures, costs, expenses, damages, and liabilities, including attorney's fees, brought as a result of Minor's involvement in volunteer activities.
5. **Photo/Video Release:** I grant the Organization permission to use photographs, videos, or other media of Minor taken during volunteer activities for promotional purposes, including but not limited to social media, websites, and marketing materials.
6. **Conduct:** I understand that Minor is expected to adhere to the Organization’s rules and guidelines. Any misconduct may result in the termination of Minor's volunteer status.
**Acknowledgment of Understanding:**
I have read this Consent and Waiver of Liability, fully understand its terms, and sign it freely and voluntarily without any inducement.
This waiver ensures that both the parent/guardian and the minor understand and agree to the terms of volunteering, and it provides legal protection for the organization. Make sure to review this with a legal professional to ensure it meets all necessary legal requirements for your specific situation and location.
