VOLUNTEER - Wallkill Valley Land Trust

Read the Waiver Here!
Acknowledgement: I acknowledge and agree that I have carefully read this Release from Liability, Waiver of Claims and Indemnification and fully understand all of its contents and their legal effect, and agree that this Release from Liability, Waiver of Claims and Indemnification is contractually binding and is being signed by me of my own free will.
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Signature*
Date:*
MM slash DD slash YYYY
Are you a new or returning volunteer?*
Do you have any special interests or skills that you would like to share with us?

Consent and Release for Publication of Photographs: I hereby grant WVLT permission to take photographs of me, and irrevocably consent to and authorize the use and reproduction by WVLT, or anyone duly authorized by WVLT, of any and all such photographs, for any legitimate purposes, including for advertising, trade, and editorial purposes, at any time in the future in all media now known or hereafter developed, throughout the world. I also consent to the use of my name in connection with such photos. I hereby release, indemnify, and hold harmless WVLT and its officers, directors, employees, agents and volunteers from any and all Claims which may result at any time by reason of the use of my image and name, including, without limitation, claims of privacy. My heirs, executors, personal representatives, successors, administrators and assigns shall be bound by this consent and release. I am over the age of 18.
Signature*
Date*
MM slash DD slash YYYY

I am over the age of 18*
Consent and Signature of Parent or Guardian: (if Volunteer is under 18 years of age or the subject of a guardianship) As the parent or guardian of _______________, the Volunteer described in the foregoing Release from Liability, Waiver of Claims and Indemnification with respect to taking part in the Volunteer Activities, I hereby acknowledge that I have read and understood such Release from Liability, Waiver of Claims and Indemnification, and Consent for Release for Publication of Photographs, and I hereby agree, individually and on behalf of my child or ward, to all of the terms of such Release from Liability, Waiver of Claims and Indemnification, and Consent for Release for Publication of Photographs; and hereby give my permission to my child or ward to participate in such Volunteers Activities. I hereby release, indemnify, and hold harmless WVLT and its officers, directors, employees, agents and volunteers from any and all Claims which may result at any time by reason of the use of my image and name, including, without limitation, claims of privacy. My heirs, executors, personal representatives, successors, administrators and assigns shall be bound by this consent and release. I am over the age of 18.
Signature
Date
MM slash DD slash YYYY
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