SOLVE Youth Volunteer Permission and Waiver
Project:
Site Location:
Date:
ALL PARTICIPANTS UNDER AGE 18 WHO ARE UNESCORTED BY AN ADULT MUST HAVE A PARENT OR
GUARDIAN SIGN THIS FORM.
THIS IS A WAIVER AND RELEASE. READ IT CAREFULLY BEFORE SIGNING. In consideration of SOLVE providing the
participant named below (“Participant”) with the opportunity to participate as a volunteer in the project indicated above (the
“Project”), I hereby agree to the following terms and conditions of this Youth Volunteer Permission and Waiver (this “Agreement”):
CONDITIONS FOR PROJECT PARTICIPATION. To
participate in the Project, Participant must:
 Follow all safety instructions and procedures presented in
connection with the Project;
 Use all necessary precautions to protect against property
loss or damage, bodily injury, and death;
 Immediately stop participating in the Project if any
activities become too strenuous, difficult, or hazardous.
ASSUMPTION OF RISK. I UNDERSTAND THAT THE
PROJECT MAY INCLUDE DANGEROUS OR
HAZARDOUS ACTIVITIES AND MAY TAKE PLACE AT A
LOCATION OR UNDER CONDITIONS THAT MAY BE
DANGEROUS TO PARTICIPANT. PARTICIPANT AND I
ACCEPT FULL PERSONAL RESPONSIBILITY FOR ALL
RISKS ARISING FROM OR RELATED TO THE PROJECT.
PHOTOGRAPHY RELEASE. A photographer may be present
to photograph the activities at the Project, and Participant may
be photographed while participating in the Project. I hereby
grant to SOLVE the irrevocable and unrestricted right to use,
edit, reproduce, display, distribute, create derivative works from,
and publish Participant’s name and biographical information,
Participant’s image or other likenesses, and any audio, video
recordings, remarks, and statements of Participant, in
connection with any SOLVE promotional, informational, or other
materials, in any current and future media, for any purpose. I
acknowledge that SOLVE owns and may copyright these
materials, and I hereby waive all right, claim, or interest (if any)
that I now have or may later acquire with respect to the use of
the foregoing regarding Participant, including the right to any
compensation. I will take any actions (including the execution of
documents) reasonably requested by SOLVE to effect, perfect,
or evidence the rights set forth in this Agreement.
RELEASE OF LIABILITY. I hereby release, waive,
relinquish and forever discharge SOLVE from all liabilities,
claims, obligations, demands, and causes of action (including, without limitation, claims for personal injury, wrongful
death, property loss or damage, costs, charges, attorneys’
fees, court costs, and other expenses) arising from or
related to the Project. I intend this Agreement to be a complete, unconditional release of all liability to the greatest extent allowed by law. I acknowledge this Agreement shall act
as a complete bar against all claims that I could otherwise
bring against SOLVE, including negligence claims, arising
from or related to the Project. For purposes of this release,
“SOLVE” includes SOLVE, other individual volunteers,
project coordinators, sponsors, suppliers, supporters, and
landowners and licensees on whose property the Project
may be located, and their employees, agents, next of kin,
heirs, personal representatives, successors, and assigns.
WARRANTIES. I represent and warrant that:
 I am the parent or legal guardian of Participant;
 Participant is physically able to participate in the Project;
 I will cause Participant to agree and comply with this
Agreement and not to take any actions that would assist or
cause Participant to violate, invalidate, renounce, negate,
revoke, or disclaim any part of this Agreement;
 Participant’s involvement in the Project is completely
voluntary, and neither Participant nor I have received nor
expect to receive any compensation for participating in it.
MISCELLANEOUS. This Agreement is the final and complete
statement of the agreement regarding Participant’s involvement
in the Project and can be modified only in a writing signed by
SOLVE. If any provision of this Agreement is declared invalid, all
other provisions will continue in full force and effect.
I HAVE READ THIS AGREEMENT AND HAVE SIGNED IT FREELY WITH THE UNDERSTANDING THAT, BY SIGNING
IT, I HAVE GIVEN UP SUBSTANTIAL RIGHTS ON BEHALF OF MYSELF AND PARTICIPANT.
Signature of Parent or Guardian
Date
Name of Participant
Male
Female
Home
Business
Home
Business
Name of Parent/Guardian
Relationship to Participant
Ph.
-
-
Address
City
State
Zip
Would you or Participant like to receive information from SOLVE? Participant must be at least 13 years old to receive
communications from SOLVE. Please consider email, which is the most cost effective method.
Yes, via email using the email address(es) provided below.
Yes, via mail using address above.
Parent/guardian email:
Participant email:
© SOLVE 2013  Reproduce and use with permission  (503) 844-9571 / (800) 333-SOLV  www.SOLVEoregon.org
Updated Mar-13