Volunteer Release, General Liability Waiver, and Confidentiality Statement

Thank you for joining us in making a difference. Before you begin your volunteer service, we kindly ask you to review and acknowledge the following important information. If you have any questions, please contact our office at (262) 658-4104 or email us at info@kenoshaunitedway.org. 

Release and Waiver of Liability

I, the Volunteer, hereby freely and voluntarily, without duress, execute this Release under the following terms: 

1. Waiver and Release – I hereby release and forever discharge and hold harmless United Way of Kenosha County, Inc. and its successors and assigns from any and all liability, which may hereafter arise from my participation with United Way of Kenosha County, Inc. and/or any project, activity, or event sponsored, managed, arranged, or promoted by, or otherwise affiliated or associated with United Way of Kenosha County, Inc. I understand and acknowledge that this Release discharges United Way of Kenosha County, Inc. from any liability or claim that I may have against United Way of Kenosha County, Inc., with respect to any bodily or other injury, illness, death, or property damage that may result from my participation.  I also understand that United Way of Kenosha County, Inc. does not assume any responsibility or obligation to provide financial assistance or other assistance, including, but not limited to, medical, health, or disability insurance, in the event of injury, illness, death, or property damage. 

2. Insurance – I understand that United Way of Kenosha County, Inc. does not carry or maintain any health, medical, disability, damage, or other liability insurance coverage for the benefit of its volunteers, with the exception of Directors & Officers coverage and Accounting coverage for the Volunteer Income Tax Assistance (VITA) Program, and expressly disclaims any responsibility or obligation to do so.  AS A VOLUNTEER, I AM EXPECTED AND ENCOURAGED BY United Way of Kenosha County, Inc. TO MAINTAIN MEDICAL, HEALTH, AND ALL OTHER APPLICABLE INSURANCE COVERAGE FOR MY OWN BENEFIT. 

3. Medical Treatment – Except as otherwise agreed to by United Way of Kenosha County, Inc. in writing, I hereby release and forever discharge United Way of Kenosha County, Inc. from any and all liability claims, demands, and causes of action whatsoever that may arise on account of any first aid or other medical treatment rendered during my participation with United Way of Kenosha County, Inc. and/or any project, activity, or event sponsored, managed, arranged, or promoted by, or otherwise affiliated or associated with United Way of Kenosha County, Inc.

4. Assumption of Risk – I understand that my participation with United Way of Kenosha County, Inc. and/or any project, activity, or event sponsored, managed, arranged, or promoted by, or otherwise affiliated or associated with United Way of Kenosha County, Inc. may include activities that may be hazardous to me.  I further recognize and understand that such participation may involve certain inherently dangerous activities.  I hereby expressly and specifically assume the risk of injury or harm in the activities and release United Way of Kenosha County, Inc. from all liability for injury, illness, death, and/or property damage that may result. 

5. Photography/Audio Release – I do hereby grant and convey unto United Way of Kenosha County, Inc. all rights, titles, and interest in and to any and all photographic images and video or audio recordings made by or on behalf of United Way of Kenosha County, Inc., or made with its consent, during my participation in any project, activity or event sponsored, managed, arranged, or promoted by, or otherwise affiliated or associated with United Way of Kenosha County, Inc., including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings. 

6. Other – I expressly understand and agree that this Release is intended to be as broad and inclusive as permitted by law, and that this Release shall be governed by and interpreted in accordance with the laws of this state, county, city, and/or township.  I agree that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release.

Volunteer Confidentiality Statement

Volunteers of United Way Kenosha County have a responsibility not to disclose information and to consider all information received in their function as confidential.  I understand that information gained during the course of my volunteer/staff work with the United Way of Kenosha County is confidential.  Specifically, information about the organization, its donors, employees, partner agencies/programs, and clients shall be kept confidential except where it directly relates to duties as a Volunteer/Staff of United Way. 

Any unauthorized access to the organization, donor, employee, or partner agency/program or client information is prohibited and will be considered a breach of confidentiality.  Such breach of confidentiality extends to communicating or distributing such information electronically, in hard copy, or in any other form, except in the process of carrying out my duties as a Volunteer. 

Upon completion of my volunteer work with United Way of Kenosha County, I shall not take with me, without first obtaining the written consent of the Chief Executive Officer or President of the organization, any document (original or reproduction) or any tangible evidence of confidential information or data belonging to or under control of the organization. 

I have read (or had read to me) and understand the above information. I acknowledge that I understand the release and agree to its provisions. I agree to not view, obtain, or release any information except as required by duties in my volunteer/staff work with United Way of Kenosha County.  I understand that to do so will be considered a serious breach of confidentiality, and appropriate action will be taken.