Caswell County Partnership for Children

Consent, Release and Waiver of Liability

        I am the volunteer listed below and am fully competent to sign this agreement. I agree to volunteer in the Caswell County Partnership for Children youth program. I understand that the program involves physical activities, including, but not limited to, outside play, field trips and enrichment activities and travel, and that there is a risk of injury associated with such activities. I understand the nature of the program and my participation therein: my participation is both willing and voluntary. I am in good health.

            In consideration of me being permitted to take part in the program, I assume all risks of such participation. I further agree that neither Caswell County Partnership for Children nor its employees, officers, trustees or agents shall be liable for any claims, demands, actions or causes of action arising out of or in anyway connected with my participation in the program, specifically including, but not limited to, liabilities, claims, demands, actions or causes of action relating to bodily injury (including Death) and property damage suffered by the volunteer. Therefore, on behalf of myself, my heirs and assigns of all the foregoing, I do hereby forever release and discharge Caswell County Partnership for Children, as well as its trustees, officers, employee, and agents, from all such liabilities, claims, demands, actions or causes of action.

            With the program and its activities having been explained to me, and all of my questions answered to my complete satisfaction, I give my consent to volunteer in the program and accept the facilities, premises, supervision and equipment used in connection therewith, fully aware of the activities and risks that may be involved. I execute this Consent, Release and Waiver of Liability for full, adequate and complete consideration, fully intending for this agreement to be binding on me, estate, heirs, administrators, personal representatives, and assigns.

This is a release of legal rights, read carefully before signing!

Name of Volunteer: ____________________________________