Habitat for Humanity Northwest Harris County : Ways to Help : Volunteer Waiver

Please complete to following form prior to volunteering.

Name (Required)

Name

Parent or Legal Guardian (If Under the Age of 18)

Parent or Legal Guardian

Street Address (Required)

Street Address

City, State, Zip (Required)

City, State, Zip

Home Phone

Cell Phone

E-Mail Address (Required)

E-Mail Address

Date of Birth (MM/DD/YYYY) (Required)

Date of Birth (MM/DD/YYYY)

Gender (Required)

Gender

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Group/ Church Affiliation

Place of Employment/ School

Emergency Contact (Required)

Emergency Contact

Emergency Contact Number (Required)

Emergency Contact Number

Waiver and Signature

(Must be signed before participating with Habitat in any capacity.)

If volunteer is a minor (under age 18) must be signed by a parent.

By registering and entering my email below as my signature, I understand that my (or my dependent’s) work as a volunteer on or about a Habitat for Humanity construction site or project will expose me (or my dependents) to various risks of personal injury or illness. I understand and assume these risks and agree not to hold Habitat for Humanity - Northwest Harris County, its agents, employees or volunteers liable for such injury or illness. I certify that I am 16 years of age or older. In addition, I hereby grant to Habitat for Humanity - Northwest Harris County all rights of publicity and other rights, title, and interest in any and all photographic images and video or audio recordings made by Habitat during my activities with Habitat, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings. This liability waiver shall cover all activities in Lancaster, Hampton Place, Cherie Cove, the ReStore, Hamill Ranch, Hamill Crossing, Fairfax Village, any other Habitat activity and anywhere in transit.

Your email will act as your signature. (Required)

Please enter your email as your electronic signature: