HENRY’S HUMBLE HEART Minor (17 and under) Volunteer
Parent Consent/Release of Liability/Media Release
(To be completed and signed by parent/legal guardian of Minor Volunteer)

Minor's Name

Address

Emergency Contact Name

Phone

I, , being the parent or legal guardian of (the "Minor") hereby consent to and authorize the Minor to act as a volunteer for HENRY’S HUMBLE HEART.

I acknowledge and agree that activities performed by the Minor as a volunteer will be performed strictly on a voluntary basis, without any pay, compensation, or benefits. I agree and understand that the Minor must comply with the rules and regulations established from time to time by HENRY’S HUMBLE HEART and that failure to do so may result in the Minor’s immediate removal as a volunteer. I am aware of the nature of the activities to be performed by the Minor as a volunteer. These activities will include but are not limited to the following type of activities as described in the Volunteer Description of Duties. I agree that all volunteer activities are to be performed by the Minor at the Minor’s risk and I assume full responsibility, therefore.

On behalf of myself, the Minor, and our respective heirs and personal representatives, I agree to indemnify and hold HENRY’S HUMBLE HEART and all its officers, employees, representatives, and volunteers free and harmless from and against all claims, damages, losses, and expenses, including attorney fees, that my minor child may sustain while participating in the volunteer activity.

I hereby release and discharge HENRY’S HUMBLE HEART and all its officers, employees, representatives, and volunteers from all claims, demands, causes of action of any nature or cause, for any such injury or damage incurred or suffered by the Minor.

I hereby grantI do not grant HENRY’S HUMBLE HEART the right to take, edit, alter, copy, and make use of video and photography taken of my child for purposes of distribution on their website, social media channels, and print materials.

Parent/Legal Guardian Signature I have carefully read this agreement, waiver and release and fully understand its contents. I am aware that this is a release of liability and a contract between HENRY’S HUMBLE HEART and myself, and I sign it of my own free will.

Full Name