I hereby release and hold harmless United Way Southwest Louisiana, the agency where I volunteer, and sponsors and supervisors of all activities, from any and all liability for any injury I may suffer (including any injury caused by negligence) in conjunction with the volunteer activity. I also certify that I am in good health and can participate in the program activities. I certify that I am 18 years of age or older and am competent to contract my name as far as the above is concerned. I have read the foregoing release, authorization and agreement before affixing my initials below and warrant that I fully understand the contents thereof.

I hereby waive any claim to the rights of photographic recordings made of me during United Way Southwest Louisiana's volunteer activity. I authorize the editing, duplication, reproduction, copyright, exhibition, broadcast and/or non-profit use and distribution of said recordings for purposes deemed suitable by United Way Southwest Louisiana. I waive any right to approve the finished products. I certify that I am 18 years or older and am competent to contract my name as far as the above is concerned. I have read the foregoing release, authorization and agreement, and I fully understand the contents by accepting.