Please submit the form below or click to download our Volunteer Liability Waiver, sign, and return to Info@resolute.health (Subject: Waiver for Your Name).
AGREEMENT REGARDING ASSUMPTION OF RISK AND RELEASE and PERSONAL APPEARANCE RELEASE FOR PHOTOGRAPHY
I wish to participate in Resolute Health Outreach, (“RHO”) mission to assist in providing surgical and post-operative care to patients in Ethiopia. I understand that RHO is a non-profit corporation, lacks insurance of any kind and has minimal financial resources with which to respond to any claim made against it. I understand that RHO is dependent on volunteers, such as myself, and cannot afford to assume any risk or liability arising out of my volunteer services. In short, to further RHO’s interests, I wish to release and hold RHO harmless from any and all claims or liability arising out of or related to my participation in a mission, as further set forth below.
I am aware that travel to and from, work, and living within locations such as Ethiopia can be dangerous and involve risk of serious injury to me and possibly even death. I acknowledged that living in and providing health care services in hospitals and other such facilities in such locations will expose me to a significant risk of accident, illness, the unavailability of services to respond to the same and significant other risks that neither I nor RHO may be able to anticipate or protect against.
I also understand that RHO, or others acting with RHO’s consent, including, but not limited to, authorized photographers and videographers, may take still photographs and/or video and/or audio recordings of me and my activities participating in RHO’s endeavors. In light of the foregoing, and in consideration of the opportunity to participate in RHO’s endeavors, I agree as follows:
I assume all risks associated with my participation in RHO’s volunteer activities including, but not limited to: risks of personal harm or injury, including death, property damage, theft, illness and the like.
I release, and agree to hold harmless, RHO, its members, officers, directors, agents, employees, representatives, partners, affiliates, attorneys, accountants, successors, and transferees.
I understand that I have limited knowledge with respect to the claims that I am re- leasing and acknowledge that I assume the risk of any mistake in entering into this assumption and release of liability. This assumption of risk and release are governed by the laws of the state of Washington.
I authorize RHO and it’s representatives including photographers and videographers (the “Producer”) to record and edit my name, likeness, image, voice and participation in and performance on film, tape or otherwise for use in the production of one or more documentary programs (the “Recordings”).
I consent to the recordings being made at any and all times during my services to RHO. I further release any rights I may have to such audio or video tapes that I understand may be used for any lawful purpose. I agree that the recordings may be edited and otherwise altered, at the sole discretion of the producer and/or RHO, and used in whole or in part for any and all broadcasting, non-broadcasting, audio/visual, online, and/or exhibition purposes in any manner or media, in perpetuity, throughout the world.
Producer may use, and authorize others to use, all or parts of the Recordings. Producer, its successors and assigns shall own all right, title and interest, including copyright, in and to the Recordings, to be used and disposed of without limitation as Producer shall in its sole discretion determine, subject only to an irrevocable, perpetual, royalty-free license to RHO to simultaneously use the Recordings.
By submitting this form you agree to the waiver text above.