Volunteer Parental Consent

We encourage our Youth to Join Halo Keepers Angels foundation to volunteer their time as an extracurricular activity. The children battling cancer and chronic illnesses love to have visits and enjoy the hand-crafted items made with love by our volunteers.

Please print the Parental Consent form, make certain to have your parent/guardian to complete the parental consent form and email the form to us at director@halokeepersfoundation.org

 

PARENTAL CONSENT AND RELEASFOR MINOR VOLUNTEERS  

In order to participate in Halo Keepers Angels, Incorporated Volunteer Program, minors are required to obtain parental consent:  

Minor Full Name  

(Please Print):______________________________________________  

I, the Undersigned, am the parent or legal guardian of the above-named minor and wish to allow my minor child/ward to provide volunteer services to Halo Keepers Angels, Incorporated I acknowledge and agree that the nature of the volunteer services which are typically performed by Halo Keepers Angels, Incorporated volunteers, and which may be performed by the above- named minor as a Halo Keepers Angels, Incorporated volunteer, may involve (a) physical activity, (b) contact with unidentified and unfamiliar persons, (c) travel to and from various unspecified locations and (d) other potential risk of injury. Notwithstanding the preceding sentence, I, on behalf of myself, his/ her other parent or guardian and said minor, knowingly, willingly and freely agree to have my child/ward provide such volunteer services and further assume any and all risk and liability relating thereto, and further agree to release, discharge and hold harmless Halo Keepers Angels, Incorporated its trustees, officers, employees, volunteers, agents and representatives, in their individual and representative capacities (hereinafter “Released Parties), from all claims, demands and liability relating to or arising out of such volunteer services, including but not limited to any accident, injury, illness or death to person or property which above- named minor may sustain, regardless of the intentional, negligent or reckless conduct of a Halo Keepers Angels, Incorporated employee, volunteer, Released Party or a third party which caused or contributed in any way to such accident, injury, illness or death. I agree to compensate Halo Keepers Angels, Incorporated, its trustees, officers, employees, volunteers, agents or representatives for the reasonable attorney’s fees, costs and expenses which they may incur in any action brought against them by me, said minor or a representative of said minor on his/ her behalf arising out of or in connection with such volunteer services.  

The Undersigned hereby warrants that to the best of my knowledge, my child/ward is in good health, and I assume all responsibility for the health of my child/ward. I understand that my child/ward will not receive any monetary compensation for the services contributed and volunteered, that he/she will not be considered an employee of Halo Keepers Angels, Incorporated and that he/ she will not be guaranteed any future positions at Halo Keepers Angels, Incorporated  

The Undersigned hereby grants to Halo Keepers Angels, Incorporated the unqualified and perpetual right to use, and consents to the use of, the name and likeness of the above-named child/ward in connection with Halo Keepers Angels, Incorporated exploitation of the photographs in any and all media, including, by way of illustration, but not limitation, the display of still photographs, the inclusion of the internet and the preparation and dissemination of any advertising and promotional materials used to promote Halo Keepers Angels, Incorporated.  

The Undersigned gives permission for the above-named child/ward to be given emergency medical treatment and/or transportation if necessary in the event of accident, injury of sudden illness while said minor is engaged in volunteer service to Halo Keepers Angels, Incorporated. The Undersigned agrees to accept all financial responsibility for any such medical treatment and transport. I agree to be responsible for providing transportation for my child to and from the volunteer activity.  

The Undersigned further acknowledges the following: I have read this release (or have had it read to me) and fully understand each and every one of the provisions in this release and on behalf of myself and said child’s other parent/ guardian , I hereby voluntarily give my express consent and agree to abide by the terms of this release.  

______________________________ _________________________________  

Print Name of Parent or Guardian Emergency Contact Phone  

______________________________ __________________________________  

Parent or Guardian Signature Date  

NO MINOR UNDER THE AGE OF 18 WILL BE ALLOWED TO PARTICIPATE IN A HALO KEEPERS, INCORPORATED. PROJECT OR ACTIVITY WITHOUT A SIGNED RELEASE AGREEMENT (Dec 2019)