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**Summer Camp Reading Program Volunteer Waiver & Release of Liability**

 

 

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### 1. Volunteer Information

 

**Full Name:** _______________________________________

**Address:** _________________________________________

**Phone:** ___________________________________________

**Email:** ____________________________________________

 

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### 2. Acknowledgment of Volunteer Status

 

I understand that my participation in the Summer Camp Reading Program is strictly voluntary. I am not an employee of the organization and will not receive compensation, benefits, or insurance coverage for my services.

 

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### 3. Assumption of Risk

 

I acknowledge that participation in volunteer activities may involve certain risks, including but not limited to interaction with children, physical activity, and general program operations. I voluntarily assume all risks associated with my participation.

 

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### 4. Release of Liability

 

I hereby release, waive, and discharge Summer Camp Reading, its directors, officers, employees, and affiliates from any and all liability, claims, demands, or causes of action arising out of or related to any injury, illness, loss, or damage that may occur while I am participating as a volunteer.

 

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### 5. Code of Conduct

 

I agree to:

 

* Act in a respectful and professional manner with students, staff, and other volunteers

* Follow all program rules, policies, and instructions

* Maintain appropriate boundaries with participants

* Immediately report any concerns or incidents to program staff

* Complete Safe Church Training or provide evidence of equivalent 

 

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### 6. Media Release (Optional)

 

I grant permission for Summer Camp Reading to use photographs or videos of me taken during the program for promotional or educational purposes.

☐ Yes   ☐ No

 

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### 7. Emergency Contact

 

**Name:** ____________________________________________

**Relationship:** _____________________________________

**Phone:** ____________________________________________

 

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### 8. Signature

 

I have read and fully understand this Volunteer Waiver and Release of Liability. I agree to all terms and conditions stated above.

 

**Volunteer Signature:** _______________________________

**Date:** _____________________________________________

 

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**Parent/Guardian Signature (if under 18):**

Signature: ___________________________________________

Date: ________________________________________________

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