VOLUNTEER WAIVER

Volunteer Waiver and Release of Liability Form
For Volunteers Assisting Neighbors through Good Neighbors Interlaken

Participant/Resident Information
Name:

Address:

Phone:

Email:

Volunteer Agreement and Liability Waiver

Thank you for volunteering to assist members of our community through Good Neighbors Interlaken, a nonprofit neighbor-helping-neighbor program. To protect all involved, we ask that you carefully read and sign this waiver.

  1. Voluntary Participation
    I understand that my participation as a volunteer is completely voluntary and that I am not an employee or agent of Good Neighbors Interlaken.

  2. Nature of Activities
    I understand that the services I provide may include driving, light home repairs, errands, companionship, and other non-professional tasks. I will not provide services beyond my ability or training and agree to decline any request that I believe is unsafe or inappropriate.

  3. Waiver and Release
    In consideration of being permitted to participate as a volunteer, I hereby waive, release, and discharge, and hold harmless Good Neighbors Interlaken, and Interlaken Community Action Group (ICAG) and their staff, volunteers, Directors & affiliates from any and all liability, claims, or demands of whatever kind or nature, either in law or in equity, which arise or may arise from my volunteer activities.

  4. Insurance
    I understand that Good Neighbors Interlaken does not provide medical, health, or auto insurance coverage for me. I agree to maintain my own insurance coverage as appropriate and required, including auto insurance, if I transport participants.

  5. Confidentiality
    I agree to maintain the confidentiality of any personal information about members or other volunteers that I may learn in the course of my volunteer work.

  6. Background Check
    I consent to a background check as a condition of volunteering with Good Neighbors Interlaken and the Interlaken Community Action Group.

    Emergency Contact
    Name:
    Phone:

Acknowledgment
I have read this waiver and release in full. I understand its terms and sign it voluntarily.

Signature:


Date: