Medical / Dental Waiver and Registration

If you are a Healthcare Provider and do NOT have personal liability insurance and are NOT covered through your workplace for this event, you will not be allowed provide direct care to guests or preceptorship to students.

I desire to volunteer for CityServe Arizona and engage in the activities related to being a volunteer for HopeFest Phoenix. I hereby voluntarily, execute this Volunteer Waiver under the following terms:

I understand that for purposes of this waiver, where CityServe Arizona is stated in this document, any of its participating HopeFest Phoenix organizations is also deemed to be considered a part of my waiver.

I release and hold harmless CityServe Arizona and North Phoenix Baptist Church – their officers, agents or employees and their successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from volunteering with CityServe Arizona.

I understand that this Waiver discharges CityServe Arizona from any liability or claim that I may have against CityServe Arizona with respect to bodily injury, personal injury, illness, death, or property damage that may result from my participation at HopeFest Phoenix. I also fully understand that CityServe Arizona does not assume any responsibility for 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.

I understand that I expressly waive any such claim for compensation or liability on the part of CityServe Arizona beyond what may be offered freely by the representative of CityServe Arizona in the event of such injury or medical expense.

I hereby release CityServe Arizona from any claim whatsoever which arises or may arise in the future on account of any first aid treatment or other medical services that are conducted in connection with an emergency during my time with CityServe Arizona.

I understand that my time volunteering with CityServe Arizona may include various activities that may be hazardous to me, and I hereby expressly and specifically assume the risk of injury or harm in these activities and release CityServe Arizona from all liability for injury, illness, death, or property damage resulting from the activities.

I grant unto CityServe Arizona all right, title, and interest in any and all photographic images and video or audio recordings that are made by CityServe Arizona during my work at HopeFest Phoenix 2019, including, but not limited to, any royalties, proceeds, or other benefits that are derived from such photographs or recordings.

I expressly agree that this Waiver is intended to be as broad and inclusive as permitted by the laws of the State of Arizona in the United States of America, and that this Waiver shall be governed by and interpreted in accordance with the laws of the State of Arizona.

I agree that in the event that any clause or provision of this Waiver 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 which shall continue to be enforceable.