Individual Volunteer Registration Form
Please review our Volunteer terms and conditions. At the bottom of this form you will need to declare that you have read this agreement.
THIS FORM IS FOR INDIVIDUAL VOLUNTEERS and groups up to 5 people.
Volunteer Date Beginning
Volunteer Date Thru
How did you hear about RTBR?
Rebuilding Together Nat'l
Volunteer understands that this Release discharges Rebuilding Together Baton Rouge (RTBR) from any liability or claim that the Volunteer may have against RTBR with respect to any bodily injury, personal injury, illness, death, or property damage that may result from the Volunteer’s Activities with RTBR, whether causes by the negligence of RTBR or its officers, directors, employees, or agents or otherwise. Volunteer also understands that RTBR does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness.
Medical Treatment: Volunteer does hereby release and forever discharge RTBR from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Volunteer’s Activities with RTBR.
Assumption of the Risk: The Volunteer understands that the Activities includes work that may be hazardous to the Volunteer, including, but not limited to, construction, loading and unloading, and transportation to and from the work sites.
Volunteer hereby expressly and specifically assumes the risk of injury or harm in the Activities and releases RTBR from all liability for injury, illness, death, or property damage resulting from the Activities.
Insurance: The Volunteer understands that, except as otherwise agreed to by RTBR in writing, RTBR does not carry or maintain health, medical, or disability insurance for any Volunteer.
Each Volunteer is expected and encouraged to obtain his or her own medical or health insurance coverage.
Photographic Release: Volunteer does hereby grant and convey unto RTBR all rights, title, and interest in any and all photographic images and video or audio recordings made by RTBR during the Volunteer’s Activities with RTBR, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.
Other: Volunteer expressly agrees that this Release in intended to be as broad and inclusive as permitted by the laws of the State of Louisiana and that this Release shall be governed by and interpreted in accordance with the laws of the State of Louisiana. Volunteer agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.
IN WITNESS WHEREOF, Volunteer has executed this Release as of the day and year first above written. (Parent's agreement if under 18 years)
Volunteer Electronic Signature (please type name)
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