Accident Waiver and Release of Liability

Release of Liability for Volunteers: For Consideration and in return for participation in “Shop4Seniors" volunteer activities and all related activities, including any activities incidental to such participation (“Volunteer Activities”), the undersigned Volunteer (hereafter referred to using “I”, “me”, “you”, or “my”) releases and agrees not to sue the Shop4Seniors or its officers, directors, family members, employees, sub-contractors, sponsors, agents and affiliates (“the Organization”) from all present and future claims that may be made by me, my family, estate, heirs, or assigns for property damage, infection, personal injury, or wrongful death arising as a result of my participation in the Volunteer Activities wherever, whenever, or however the same may occur. I understand and agree that the Organization are not responsible for any injury or property damage arising out of the Volunteer Activities, even if caused by their ordinary negligence or otherwise. I understand that participation in the Volunteer Activities involves certain risks especially concerning commutable diseases. I am voluntarily participating in the Volunteer Activities with knowledge of the danger involved and I agree to accept the risks of participation. I realize that Organization are not responsible for any medical expenses related to the contraction of the COVID-19 virus including but not limited to medication expenses, hospital expenses, or any other medical expenses. I understand that Organization requires that all seniors and volunteers maintain the guidelines outlined by the CDC, and that although those guidelines are effective in most cases but not all. I assume all risks associated with volunteering. I understand that I am responsible to be familiar with all of the guidelines laid out by the CDC. I understand that all Shop4Seniors volunteers who plan on driving vehicles as a means of delivery are to have valid licensure from the Commonwealth of Pennsylvania or another state, and that any expense, injury or death that occurs as a result of delivering is not to  I realize that liability may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them or because of their possible liability without fault. In the event that any complications should arise as a result of receiving these services, I agree to hold Shop4Seniors and its staff harmless in perpetuity.

Indemnification for Volunteers: I also agree to indemnify and hold harmless the Organization for all claims arising out of my participation in the Volunteer Activities. I understand that this document is intended to be broad and inclusive as permitted by the laws of the state in which the Volunteer Activities take place and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect. I also acknowledge that the Organization have not arranged and does not carry any insurance of any kind for my benefit or that of Volunteer, my parents, guardians, trustees, heirs, executors, administrators, successors and assigns. You certify that at all times during participation, you have health and automobile insurance.

Release of Liability for Seniors: For Consideration and in return for participation in “Shop4Seniors" delivery activities and all related activities, including any activities incidental to such participation (“Delivery Activities”), the undersigned Elderly or Otherwise Medically Impaired (hereafter referred to using “I”, “me”, “you”, or “my”) releases and agrees not to sue the Shop4Seniors or its officers, directors, family members, employees, sub-contractors, sponsors, agents and affiliates (“the Organization”) from all present and future claims that may be made by me, my family, estate, heirs, or assigns for property damage, infection, personal injury, or wrongful death arising as a result of my participation in the Delivery Activities wherever, whenever, or however the same may occur. I understand and agree that the Organization are not responsible for any injury or property damage arising out of the Delivery Activities, even if caused by their ordinary negligence or otherwise. I understand that participation in the Delivery Activities involves certain risks especially concerning commutable diseases. I am voluntarily participating in the Delivery Activities with knowledge of the danger involved and I agree to accept the risks of participation. I realize that Organization are not responsible for any medical expenses related to the contraction of the COVID-19 virus including but not limited to medication expenses, hospital expenses, or any other medical expenses. I understand that Organization requires that all individuals involved in the Organization maintain the guidelines outlined by the CDC, and that although those guidelines are effective in most cases but not all. I assume all risks associated with receiving the services of the Organization. I understand that I am responsible to be familiar with all of the guidelines laid out by the CDC. I understand that all Shop4Seniors volunteers who plan on driving vehicles as a means of delivery are to have valid licensure from the Commonwealth of Pennsylvania or another state, and that any expense, injury or death that occurs as a result of delivering is not to  I realize that liability may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them or because of their possible liability without fault. In the event that any complications should arise as a result of receiving these services, I agree to hold Shop4Seniors and its staff harmless in perpetuity.

Indemnification for Seniors: I also agree to indemnify and hold harmless the Organization for all claims arising out of my participation in the Delivery Activities. I understand that this document is intended to be broad and inclusive as permitted by the laws of the state in which the Delivery Activities take place and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect. I also acknowledge that the Organization have not arranged and does not carry any insurance of any kind for my benefit or that of Volunteer, my parents, guardians, trustees, heirs, executors, administrators, successors and assigns. You certify that at all times during participation, you have health and automobile insurance.

Present Good Health: I represent that, to my knowledge, I am not experiencing COVID-19 symptoms (see https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html), I am in good health, and suffer no physical impairment that would or should prevent my participation in Volunteer Activities. I also understand that this document is a contract that grants certain rights to and eliminates the liability of the Organization. 

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80 S Ithan Avenue

Villanova, PA 19085

rte5046@psu.edu

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