Wishing to volunteer my time and services for United Way of the Chattahoochee Valley (UWCV), I hereby acknowledge that said organization is doing its utmost to protect the public as well as myself as a volunteer. United Way of the Chattahoochee Valley is not responsible for any exposure to Novel Coronavirus, or COVID-19. I hereby release, indemnify, and hold harmless UWCV, the organizers, sponsors, agency partners and supervisors of all its activities, from any and all liability in connection with any injury (including any injury caused by negligence), including illness. I understand that there is no employment security insurance provided to me in my role as a volunteer.By signing below, I certify that I am over the age of 18 and agree to comply with the written instructions above. Failure to comply with these written instructions or verbal instructions from staff may result in my volunteer privileges being removed and I may be asked to leave the premises.

I hereby grant permission to UWCV to use my story and/or its likeness and any photographs provided in any and all United Way printed materials, video presentations, web site or media releases without further consideration, and I acknowledge United Way’s right to crop or edit such materials at its discretion. I also acknowledge that United Way may choose not to use my story and/or image at this time but may do so at its own discretion at a later date.