DOSA Volunteer Participation Agreement

FOR ADULT CAREGIVERS Attending With Guest ONLY - (If not applicable, please click the AGREED TO AND ACCEPTED box and type NA in fields)

I, the undersigned, do waive and release the Diocese of St. Augustine, and their owned entities, corporate members, employees, officers, directors and agents ("Released Parties") from any expenses, costs, claims, or liability for any injury or damages I may incur which are not due to the gross negligence of the released parties, and in any way associated with my participation in volunteer activities. 

I understand that my volunteer activities involve some risk, and I hereby agree to assume such risk as a condition of my acceptance and participation in these activities. 

I hereby grant the Released Parties full authority to take whatever actions they may consider in their sole discretion to be warranted under the circumstances concerning my health and safety and I fully absolve the Released Parties from any liability or costs associated with such decisions or actions that may be taken in connection therewith. I authorize the Released Parties, at their discretion, to place me, at my own expense and without further consent, in a hospital that is readily available and/or to place me in the hands of a physician for treatment, should the need arise. 

FOR MINOR BUDDIES/CAREGIVERS ONLY - (If not applicable, please click the AGREED TO AND ACCEPTED box and type NA in fields)

I certify that I am the parent/legal guardian of the above-signed applicant, and that I have read the foregoing release and examined the information in the description. I hereby join in each and every part of the Release (including such part as may subject me to personal financial responsibility), and hereby relinquish any rights that I may have against the Released Parties as set forth above, both in my own behalf and in my capacity as legal representative (as applicable) of the participant.