YOUTH UNITED VOLUNTEER

Form must be filled out in full by parent or legal guardian.

YOUTH VOLUNTEER INFO

PARENT OR LEGAL GUARDIAN INFO

Application must be completed in full.

I give my permission for my child to participate as a Youth United volunteer as part of United Way of Southwest Louisiana. I understand that without some program providing protection for its assets and its leaders, United Way of Southwest Louisiana, a non-profit organization, would not be able to offer its community services and activities. Thus, I hereby release and waive all claims and suits against United Way of Southwest Louisiana, its directors, employees, insurers, agents, representatives, assigns, sponsors, participating community service organizations, and other personnel or organization in any way assisting or connected with Youth United. I further agree to indemnify, defend and hold them harmless from any injury or loss associated with my child’s participation in Youth United volunteer activities.

I acknowledge that there are certain foreseeable and unforeseeable risks associated with my child’s participation in Youth United volunteer activities. Accordingly, I expressly assume on my child’s behalf all risks associated with participating in these activities, including, but not limited to, illness, traveling to and from activities, contact with other volunteers or participants, the effects of the weather (including temperature extremes and humidity), all such risks being understood and appreciated by me.

I hereby assign to United Way of Southwest Louisiana all rights to video and audio recordings and all photographs of my child made in connection with Youth United volunteer activities. I hereby authorize editing, duplication, reproduction, copyright, exhibition, broadcast and/or other use and distribution of such recordings or quotations for purposes deemed suitable by United Way of Southwest Louisiana. I also waive any right to approve or disapprove the finished products.