Attack Poverty

I understand that my participation is voluntary. I am aware of the risks and hazards inherent in participating and do hereby release and hold harmless Attack Poverty and it's Friends Initiatives, volunteers, affiliates, and employees of all liability with regard to any physical or emotional harm that I may sustain during the time I volunteer.

I grant Attack Poverty the right to use, publish, and copyright my image (including audio, moving image, or photograph) for educational programs, web sites, and promotion of Attack Poverty's programs. This release is effective from the date of signature. If I do not wish to be photographed or interviewed for news or promotional coverage, I will remove myself from situations where my wishes may be violated. I agree to waive my rights to hold Attack Poverty, their offices, agents and employees responsible for any liability, loss, or damage that occurs from my participation in any promotional activities.

As a condition of your volunteering with Attack Poverty, you will be asked to sign this Confidentiality Agreement. By signing this agreement, you agree not to divulge information in which you may become privy to, whether accidentally or in the natural course of your volunteer involvement that Attack Poverty deems confidential in nature. If it is discovered that a volunteer has improperly used or discussed confidential information, that volunteer will be subject to disciplinary action, up to and including immediate termination of their volunteer position.

I, the undersigned being the volunteer involved with Attack Poverty or being the parent or legal guardian of such a volunteer in the program, in consideration of my or another's participation with Attack Poverty, I hereby, for myself and any volunteer for whim I am a parent or legal guardian release, discharge, hold harmless, and forever acquit Attack Poverty, their officers, agents and employees from any and all actions, causes of actions, claims or any liabilities whatsoever, known or unknown now existing or which may arise in the future, on account of or in any way related to or arising out of my participation in volunteering. Further, I assume all liability of any non-participants who accompany me.

I understand that I am a volunteer for all purposes, including workers compensation, and am not an employee of Attack Poverty, their officers, or agents, and as such they are not responsible for injury or death of myself and any volunteer for who I am the parent or legal guardian which may occur while acting as a volunteer.

The information contained in this application is correct to the best of my knowledge. I understand this questionnaire will be used for placement of service for Attack Poverty or one of it's initiatives. I authorize Attack Poverty to conduct a background check. I understand that I must complete a background check.