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SAMPLE WAIVER
CAUTION: This sample document is intended to be used as an example only. Certain provisions contained
herein may not be suitable for a particular affiliate or state. All legal documents should be reviewed by an
affiliate’s attorney.

                          RELEASE AND WAIVER OF LIABILITY
PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!

This Release and Waiver of Liability (the “Release”) executed on this                    day of _______________,
20___, by ________________________ (the “Volunteer”) in favor of Habitat for Humanity International, Inc., a
nonprofit corporation, and Habitat for Humanity of [Insert name],Inc., a [Insert name of state] nonprofit
corporation, their directors, officers, employees, volunteers, and agents (collectively, “Habitat”).

The Volunteer desires to work as a volunteer for Habitat and engage in the activities related to being a volunteer
(the "Activities"). The Volunteer understands that the Activities may include constructing and rehabilitating
residential buildings, working in the Habitat offices, and living in housing provided for volunteers of Habitat.

The Volunteer hereby freely, voluntarily, and without duress executes this Release under the following terms:

RELEASE AND WAIVER. Volunteer does hereby release and forever discharge and hold harmless Habitat and
its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law
or in equity, which arise or may hereafter arise from Volunteer’s Activities with Habitat.

Volunteer understands that this Release discharges Habitat from any liability or claim that the Volunteer may
have against Habitat with respect to any bodily injury, personal injury, illness, death, or property damage that
may result from Volunteer’s Activities with Habitat, whether caused by the negligence of Habitat or its officers,
directors, employees, or agents or otherwise. Volunteer also understands that Habitat 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 Habitat 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 Habitat.

ASSUMPTION OF THE RISK. The Volunteer understands that the Activities included 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
Habitat 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 Habitat in writing, Habitat does
not carry or maintain health, medical, or disability insurance coverage 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 Habitat all right, title, and
interest in any and all photographic images and video or audio recordings made by Habitat during the Volunteer’s
Activities with Habitat, including, but not limited to, any royalties, proceeds, or other benefits derived from such
photographs or recordings.



           Page 1 of 2                                                                                          6-08
SAMPLE WAIVER
OTHER. Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by
the laws of the State of [Insert name of State], and that this Release shall be governed by and interpreted in
accordance with the laws of the State of [Insert name of State]. 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.




Witness:                                                    Volunteer:

                                                            Address:



                                                            Phone (Home):

                                                                    (Work):




           Page 2 of 2                                                                                         6-08

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Sample Waiver Release Form

  • 1. SAMPLE WAIVER CAUTION: This sample document is intended to be used as an example only. Certain provisions contained herein may not be suitable for a particular affiliate or state. All legal documents should be reviewed by an affiliate’s attorney. RELEASE AND WAIVER OF LIABILITY PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS! This Release and Waiver of Liability (the “Release”) executed on this day of _______________, 20___, by ________________________ (the “Volunteer”) in favor of Habitat for Humanity International, Inc., a nonprofit corporation, and Habitat for Humanity of [Insert name],Inc., a [Insert name of state] nonprofit corporation, their directors, officers, employees, volunteers, and agents (collectively, “Habitat”). The Volunteer desires to work as a volunteer for Habitat and engage in the activities related to being a volunteer (the "Activities"). The Volunteer understands that the Activities may include constructing and rehabilitating residential buildings, working in the Habitat offices, and living in housing provided for volunteers of Habitat. The Volunteer hereby freely, voluntarily, and without duress executes this Release under the following terms: RELEASE AND WAIVER. Volunteer does hereby release and forever discharge and hold harmless Habitat and its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from Volunteer’s Activities with Habitat. Volunteer understands that this Release discharges Habitat from any liability or claim that the Volunteer may have against Habitat with respect to any bodily injury, personal injury, illness, death, or property damage that may result from Volunteer’s Activities with Habitat, whether caused by the negligence of Habitat or its officers, directors, employees, or agents or otherwise. Volunteer also understands that Habitat 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 Habitat 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 Habitat. ASSUMPTION OF THE RISK. The Volunteer understands that the Activities included 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 Habitat 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 Habitat in writing, Habitat does not carry or maintain health, medical, or disability insurance coverage 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 Habitat all right, title, and interest in any and all photographic images and video or audio recordings made by Habitat during the Volunteer’s Activities with Habitat, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings. Page 1 of 2 6-08
  • 2. SAMPLE WAIVER OTHER. Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of [Insert name of State], and that this Release shall be governed by and interpreted in accordance with the laws of the State of [Insert name of State]. 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. Witness: Volunteer: Address: Phone (Home): (Work): Page 2 of 2 6-08