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Volunteer Waiver

For individuals volunteering as part of a group.

    * Required

    Full Name *

    Email Address *

    I am affiliated with * (school, program, company)

    Group Leader Name

    Client's Address/Place of Service (if known)

     

    Waiver Agreement

    I certify that I do not have a history of violent crime within the last 5 years.

    I acknowledge the potential risk involved in volunteering and will not hold Eras Senior Network liable in the event of an accident.

    I agree to have my photo taken during the service opportunity.

    I recognize that I am expected to adhere to relevant COVID-19 precautions including wearing a mask, social distancing when possible, and sanitizing any spaces clients may touch.

    If volunteer is under 18, I certify that I am a legal guardian/parent signing on behalf of a youth volunteer.

    I understand that I am serving a vulnerable population and will make every effort to respect their dignity, privacy, and interact with integrity.


     

    Type Your Name for Signature *

    Today's Date *