VHC Event.org, An Annual Veterans Holiday Party

December 4th, 2011 - West Los Angeles VA Campus, 12:00pm - 5:30pm

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Veterans Holiday Celebration Release of Liability
The undersigned (“Volunteer”) and the parent or legal guardian thereof if a minor acknowledge that Volunteer and/or my minor child and/or legal ward will be performing volunteer services for Veterans’ Holiday Celebration Incorporated, a California nonprofit public benefit corporation (“VHC”), in connection with the Veterans’ Holiday Celebration and understand that Volunteer’s activities as a volunteer are solely at his or her own risk. Volunteer and the parent or legal guardian thereof if a minor agree that, in consideration for VHC allowing Volunteer’s and/or my minor child’s and/or legal ward’s participation in connection with the Veterans’ Holiday Celebration under the terms set forth herein, Volunteer and the parent or legal guardian thereof if a minor, and on behalf of his or her heirs, administrators, personal representative or assigns, do agree to hold harmless, release and discharge VHC, its owners, agents, employees, officers, directors, representatives, assigns, members, affiliated organizations, insurers, and others acting on its behalf (hereinafter collectively referred to as “associates”) of and from all claims, demands, causes of action, costs and expenses (including attorneys’ fees), and legal liability arising therefrom, whether the same be known or unknown, anticipated or unanticipated, due to VHC’s and/or its associates ordinary negligence; and Volunteer and the parent or legal guardian thereof if a minor do further agree that except in the event of VHC’s gross negligence and willful and wonton misconduct, Volunteer and the parent or legal guardian thereof if a minor shall not bring any claims, demands, legal actions and causes of action against VHC and its associates as stated above in this clause, for any economic and non-economic losses due to bodily injury, death, property damage sustained by Volunteer and/or my minor child and/or legal ward in relation to the operations and activities of VHC in connection with the Veteran’s Holiday Celebration, such operations and activities to include volunteer services occurring both prior to and after the actual December 4, 2011 Veterans’ Holiday Celebration date and whether on or off the actual site for the December 4, 2011 event located on the grounds of the VA Greater Los Angeles Healthcare System’s West Los Angeles facility. Volunteer and the parent or legal guardian thereof if a minor acknowledge that, while Volunteer and/or my minor child and/or legal ward perform such volunteer services for VHC, Volunteer and/or my minor child and/or legal ward shall not be deemed to be nor treated as an employee, agent, subcontractor or independent contractor of VHC or of any agent of VHC and that VHC will not be providing any pay, compensation, insurance, worker’s compensation, or any other benefit to which an employee may be entitled. By signing this release form, Volunteer and the parent or legal guardian thereof if a minor further acknowledge and grant photo release permission for VHC in connection with Volunteer’s and/or my minor child’s and/or legal ward’s volunteer services in connection with the Veterans’ Holiday Celebration.

Name *

Prefix

First

Last

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Birth Date

YYYY

Volunteer Signature *(please type your name in here)

Agreed to: *

YYYY

Parent Signature (If under 18)

Email *

Phone Number *

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I have read and agree to the Release of Liability. *

Yes, I agree.

No, I don't agree

Address *

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

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