The Health Trust (“Health Trust”) is a nonprofit organization whose mission is to build healthy equity in Silicon Valley. Health Trust regularly engages volunteers in its activities. By signing below, I, the volunteer (or the volunteer’s legal guardian), agree that:
Preparation
I will participate in any orientation or other training offered or required by Health Trust.
Conduct
- I will be courteous and respectful toward fellow volunteers, Health Trust staff, and clients.
- I will not use, possess or be under the influence of alcohol or drugs while volunteering.
- I will not threaten, intimidate, sexually harass, or coerce fellow volunteers, Health Trust staff, or clients on or off the premises at any time.
- I will be honest in all my communications with fellow volunteers, Health Trust staff, and clients.
- I will not engage in criminal conduct or acts of violence, including making threats.
- I will not fight or provoke a fight on the premises.
- I will not remove any property from the premises, including documents, without prior permission.
- I will not use Health Trust property for personal reasons or for profit, unless I obtain permission.
- I will not alter any Health Trust records or other agency documents.
Policies and Safety Rules
For my safety and that of others, I will comply with Health Trust’s volunteer policies, handbook, safety rules and other directions for all volunteer activities. I will supervise any child or other person for whom I am responsible. If I become aware of any hazardous condition or danger at a Health Trust program site, I will alert a Health Trust staff member immediately.
Awareness and Assumption of Risk
I understand that my participation in Health Trust’s activities is strictly voluntary and that I am not required to participate in any Health Trust activities. I understand that Health Trust activities have inherent risks that may arise from the activities themselves, my own actions or inactions, or the actions or inactions of Health Trust, its directors, officers, employees and agents, other participants, and others present at Health Trust program sites. These risks may arise from varied causes, including physical exertion, participating in group and athletic activities, interaction with employees, clients or other volunteers, working with patients, use of facilities, traveling to or from an activity or program site, outdoor activities, eating or handling foods, handling equipment, or lifting heavy objects. I assume full responsibility for any and all risks of bodily injury, death, or property damage caused by or arising directly or indirectly from my presence at Health Trust program sites or participation in Health Trust activities, regardless of the cause.
Physical Condition
I acknowledge that I am responsible for the awareness of my own physical condition. I further affirm that I am in good physical condition, and do not suffer from any disability or physical impairment that would affect my ability to participate in volunteer activities. If at any time I feel unable to continue participating in any volunteer activities, I will immediately discontinue my participation.
Medical Care Consent and Waiver
I authorize Health Trust to provide to me first aid and, through medical personnel of its choice, medical assistance, transportation and emergency medical services. This consent does not impose a duty upon Health Trust to provide such assistance, transportation, or services. In addition, I waive and release any claims against the Released Parties (as defined below) arising out of any first aid, treatment or medical service, including the lack or timing of such, made in connection with my volunteer activities with Health Trust.
Confidentiality
As a volunteer, I may have access to confidential information. At all times during and after my participation, I agree to hold any such confidential information in confidence and not disclose or use it except as required by my Health Trust volunteer activities or as an officer of Health Trust expressly authorizes in writing.
Publicity
I consent to the use by Health Trust of my image, voice, name, and/or story in any format, including video, print, or electronic (collectively, the “Materials”), as Health Trust may deem appropriate. Health Trust may make the Materials available at its discretion to third parties, on Health Trust’s website, in Health Trust’s publications, or through any other media, including social networking websites. I waive any right to inspect or approve the finished product or to receive any payment. I grant to Health Trust all copyrights in the Materials and waive any legal claims, including those relating to copyright or rights of publicity or privacy.
Waiver and Release of Claims
In consideration for my participation in Health Trust activities, I waive and release any and all claims against: Health Trust; the owner(s) of premises on which Health Trust activities take place (collectively, “Landowners”); and Health Trust’s and Landowners’ directors, officers, agents, employees, volunteers and affiliates (collectively, the “Released Parties”), for any liability, loss, damages, claims, expenses, and attorneys’ fees resulting from death or injury to my person or property, caused by or arising directly or indirectly from my presence at a Health Trust program site or participation in Health Trust activities, regardless of the cause and even if caused by negligence, whether passive or active. I agree not to sue any of the Released Parties on the basis of these waived and released claims. I waive the protections of Section 1542 of the California Civil Code, which provides that a general release does not extend to certain claims not known to me at the time I signed this waiver and release.
Volunteer Not an Employee
I understand that (i) I am not an employee of Health Trust, (ii) I will not be paid for my participation, and (iii) I am not covered by or eligible for any Health Trust insurance, health care, worker’s compensation, or other benefits. I may choose at any time not to participate in an activity, or to stop my participation entirely, with Health Trust.
General Provisions
I understand that this agreement will be binding for the duration of my involvement with Health Trust’s programs and activities. This is the entire agreement between Health Trust and me, and supersedes all prior or contemporaneous communications or understandings, either oral or written. This agreement will be binding to the fullest extent permitted by law. If any provision of this agreement is found to be illegal, invalid or unenforceable, the remaining terms will be effective.