Form Center

2. VOLUNTEER PARTICIPANT
   WAIVER OF LIABILITY AND ASSUMPTION OF RISK
   PLEASE READ CAREFULLY
4. I understand that my participation in the City of Madison (“City”) programs, operations, and/or maintenance is a voluntary activity, and that I am donating my time and my labor by my own free choice. I agree to perform my assigned tasks in a responsible manner. In consideration of being allowed to participate in volunteer activities, I hereby agree to ASSUME THE RISKS OF PROPERTY DAMAGE, INJURY, ILLNESS, OR DEATH in any way associated with my participation in this activity. I agree to RELEASE, DEFEND, INDEMNIFY, AND HOLD HARMLESS the City, its officials, employees, representatives, volunteers, and agents for any and all rights and claims for damages, including attorney fees, I now, or may hereafter have, whether known or unknown, in law or in equity, and arising from or in any way connected with my participation in the City’s volunteer activities. I agree that the terms stated herein shall also serve as a WAIVER OF LIABILITY AND ASSUMPTION OF RISK for my heirs, estate, executor, administrator, assignees, and for all members of my family.
6. PHOTO RELEASE
8. Furthermore, I give my permission to have photos and/or video recordings taken of me or my child(ren) for publicity purposes during City of Madison activities even though we will not receive compensation of any kind for appearing in such photos or video recordings.
10. CAUTION
12. I acknowledge that I have carefully read this WAIVER OF LIABILITY AND ASSUMPTION OF RISK and fully understand that I am waiving any right that I may now or hereafter have to bring a legal action to assert any claim against the City of Madison in connection with my participation in any volunteer activity.
14. I accept the conditions printed above:
16. Participant Signature*
17. Date*
19. Print Participant Name*
21. 
    
23. A parent or guardian signature is required if the participant is under 19 years of age. By signing this WAIVER OF LIABILITY AND ASSUMPTION OF RISK on behalf of a minor, the undersigned parent or guardian is agreeing to be bound by the above conditions on behalf of him or herself and on behalf of the participant.
25. Parent or Guardian Signature*
26. Date*
Leave This Blank:


28. Submit Submit and Print

* indicates a required field