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Waiver
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:
I wish to work as a volunteer for the Parkinson’s Foundation. I understand these and other volunteer activities may involve risks such as, but not limited to, falls, exposure to inclement weather, being struck by cars or other vehicles or bicycles, or colliding with other persons, any of which may result in property loss, personal injury, or even death. I understand the inherent risks of volunteer activities, and in consideration of being allowed to volunteer, I hereby expressly assume all such risks and consent to participate in Parkinson’s Foundation volunteer activities and all related activities, on behalf of myself.
I am solely responsible for my own health and safety. I represent that I am healthy, physically fit, and medically able to participate as a volunteer.
I hereby for myself, my family, my heirs, executors and administrators, release from liability, waive all claims against, hold harmless, and agree not to sue the Parkinson’s Foundation, its chapters, their respective officers, directors, volunteers, employees, sponsors and agents, individually and collectively, for any harm, damage, injury, or death arising out of my participation as a volunteer and related activities EVEN IF RESULTING FROM THE NEGLIGENCE OF THE PARKINSON’S FOUNDATION OR OTHER ABOVE PERSONS.
I will only perform such volunteer activities as I am qualified and able to perform. I understand that I may decline any volunteer role or position at any time if I feel I am unqualified or there is a risk to health or safety, or for any other reason.
I agree to become familiar with any rules, regulations, and guidelines of the Parkinson’s Foundation regarding a volunteer activity and not to violate the same or violate or fail to follow any directive or instruction made by the person or persons in charge of a volunteer activity.
I grant full permission to the Parkinson’s Foundation to photograph and videotape me in connection with volunteering and to use my image and name in any and all media, including for marketing and promotional purposes.
I understand that representatives of the Parkinson’s Foundation may disclose to me certain nonpublic information concerning ongoing and future activities of the Parkinson’s Foundation, including business, constituent data, strategic and financial plans and initiatives (collectively, “Confidential Information”), that the Parkinson’s Foundation wishes to remain confidential.
The Confidential Information is confidential and proprietary to the Parkinson’s Foundation, and I understand and agree that its unauthorized disclosure would be harmful to the interests of the Parkinson’s Foundation.
I will therefore not disclose, share, or transfer the Confidential Information to any business or person who is not a staff of the Parkinson’s Foundation and will use reasonable measures to safeguard the Confidential Information from inadvertent disclosure or unauthorized access.
Upon the request of the Parkinson’s Foundation, I will return to the Parkinson’s Foundation all Confidential Information I may have received, or confirm the destruction of the Confidential Information (or data erasure of all computerized data and records) containing the Confidential Information).
I agree that this Volunteer Agreement and Waiver is effective immediately, will remain effective forever, and applies to all volunteer activities in which I may participate for the Parkinson’s Foundation.
If any term of this Volunteer Agreement and Waiver is held illegal, unenforceable, or in conflict with law, the validity of the remaining portions shall not be affected thereby.
By my signature I declare that I have read, understand and agree with all terms of the Parkinson’s Foundation Volunteer Agreement and Waiver and will strive to fulfill all terms therein.
I wish to work as a volunteer for the Parkinson’s Foundation. I understand these and other volunteer activities may involve risks such as, but not limited to, falls, exposure to inclement weather, being struck by cars or other vehicles or bicycles, or colliding with other persons, any of which may result in property loss, personal injury, or even death. I understand the inherent risks of volunteer activities, and in consideration of being allowed to volunteer, I hereby expressly assume all such risks and consent to participate in Parkinson’s Foundation volunteer activities and all related activities, on behalf of myself.
I am solely responsible for my own health and safety. I represent that I am healthy, physically fit, and medically able to participate as a volunteer.
I hereby for myself, my family, my heirs, executors and administrators, release from liability, waive all claims against, hold harmless, and agree not to sue the Parkinson’s Foundation, its chapters, their respective officers, directors, volunteers, employees, sponsors and agents, individually and collectively, for any harm, damage, injury, or death arising out of my participation as a volunteer and related activities EVEN IF RESULTING FROM THE NEGLIGENCE OF THE PARKINSON’S FOUNDATION OR OTHER ABOVE PERSONS.
I will only perform such volunteer activities as I am qualified and able to perform. I understand that I may decline any volunteer role or position at any time if I feel I am unqualified or there is a risk to health or safety, or for any other reason.
I agree to become familiar with any rules, regulations, and guidelines of the Parkinson’s Foundation regarding a volunteer activity and not to violate the same or violate or fail to follow any directive or instruction made by the person or persons in charge of a volunteer activity.
I grant full permission to the Parkinson’s Foundation to photograph and videotape me in connection with volunteering and to use my image and name in any and all media, including for marketing and promotional purposes.
I understand that representatives of the Parkinson’s Foundation may disclose to me certain nonpublic information concerning ongoing and future activities of the Parkinson’s Foundation, including business, constituent data, strategic and financial plans and initiatives (collectively, “Confidential Information”), that the Parkinson’s Foundation wishes to remain confidential.
The Confidential Information is confidential and proprietary to the Parkinson’s Foundation, and I understand and agree that its unauthorized disclosure would be harmful to the interests of the Parkinson’s Foundation.
I will therefore not disclose, share, or transfer the Confidential Information to any business or person who is not a staff of the Parkinson’s Foundation and will use reasonable measures to safeguard the Confidential Information from inadvertent disclosure or unauthorized access.
Upon the request of the Parkinson’s Foundation, I will return to the Parkinson’s Foundation all Confidential Information I may have received, or confirm the destruction of the Confidential Information (or data erasure of all computerized data and records) containing the Confidential Information).
I agree that this Volunteer Agreement and Waiver is effective immediately, will remain effective forever, and applies to all volunteer activities in which I may participate for the Parkinson’s Foundation.
If any term of this Volunteer Agreement and Waiver is held illegal, unenforceable, or in conflict with law, the validity of the remaining portions shall not be affected thereby.
By my signature I declare that I have read, understand and agree with all terms of the Parkinson’s Foundation Volunteer Agreement and Waiver and will strive to fulfill all terms therein.
Check here to show you accept the terms stated above for yourself or for a minor volunteer for which you are a parental guardian.
Moving Day® involves driving, walking and related activities, much of which occur outdoors at large parking lot venues, driving routes and walking routes, requiring participants and volunteers to navigate traffic, road conditions, other drivers, other participants, volunteers and other pedestrians and cyclists, as well as dealing with possible adverse weather conditions. This involves risks such as, but not limited to, traffic accidents, falls, being struck by cars or other vehicles or bicycles, colliding with other persons or cars, or exposure to communicable diseases (including COVID-19), any of which may result in property loss, personal injury, illness, or even death. Participants are permitted to have their dogs accompany them in this event, which presents risks of being bitten, knocked down, or tripped, which also may cause bodily injury or death. In consideration of being allowed to participate in and/or volunteer for this event, I hereby expressly assume all such risks.
I am solely responsible for my own health and safety. I represent that I am healthy, physically fit, medically able to participate in this event, and, if driving in this event, properly licensed and physically able to operate a motor vehicle.
I am not ill or experiencing any symptoms of illness such as a fever, cough, or shortness of breath. If I develop these symptoms, I agree that I will not attend the Moving Day events.
I have not: (i) traveled internationally in the past 14 days, (ii) traveled to an area highly impacted by COVID-19 within the United States in the past 14 days, (iii) to my knowledge, been exposed to a person with a confirmed or suspected case of COVID-19, (iv) been diagnosed with COVID-19, or, if I have been, I have fully recovered and been cleared as noncontagious by state or local public health authorities, or (v) if operating a vehicle, had my driver’s license revoked and not reinstated.
I hereby for myself, my family, my heirs, executors and administrators, release from liability, waive all claims against, hold harmless, and agree not to sue the Parkinson’s Foundation, its chapters, their respective officers, directors, volunteers, employees, sponsors and agents, individually and collectively, for any harm, damage, injury, illness, property damage or loss, or death arising out of my participation in/volunteering for this event and related activities EVEN IF RESULTING FROM THE NEGLIGENCE OF THE PARKINSON’S FOUNDATION OR OTHER ABOVE PERSONS.
I grant full permission to the organizers of this event to photograph and videotape me in connection with the event and to use my image and name in any and all media, including for marketing and promotional purposes.
If any term of this Agreement is held illegal, unenforceable, or in conflict with law, the validity of the remaining portions shall not be affected thereby.
I have read, understand, and agree to the terms of this Waiver.
BY SIGNING YOU MAY BE GIVING UP IMPORTANT LEGAL RIGHTS. PLEASE READ AND BE CERTAIN YOU UNDERSTAND EVERYTHING BEFORE SIGNING.
