Short Term Event - Volunteer Liability Release FormIn consideration of my desire to serve as a volunteer with Agape Child & Family Services, Inc. (“Agape”), I
hereby assume all responsibility for any and all risk of property damage or bodily injury that I may sustain
while participating in any voluntary program or other activity of any nature, including the use of equipment and
facilities of Agape.
Further, I, for myself and my heirs, executors, administrators and assigns, hereby release, waive and discharge
Agape and its officers, directors, employees, agents and volunteers of and from any and all claims which I or
my heirs, administrators and assigns ever may have against any of the above for, on account of, by reason of or
arising in connection with such volunteer efforts or my participation therein, and hereby waive all such claims,
demands and causes of action.
By signing this form, I confirm that I am aware of the potential risks to which I may be exposed during the
assignment that I have voluntarily accepted with Agape. I have thoroughly investigated the conditions of my
assignment with Agape and fully understand the potential risks of serving in this particular capacity. With such
knowledge, I hereby indemnify and hold harmless Agape for any injuries, direct and consequential damages, or
loss that may result from my volunteer service, assuming all of such risk unto myself.
Further, I expressly agree that this release, waiver and indemnity agreement is intended to be as broad and
inclusive as permitted by the State of Tennessee, and that if any portion thereof is held invalid, it is agreed that
the balance shall, notwithstanding, continue in full legal force and effect.
I currently have no known mental or physical condition that would impair my capability for full participation as
intended or needed from me.
Further, I have carefully read the foregoing release and indemnification and understand the contents thereof and
sign this release as my own, free act.