United Way of Southeast Minnesota
United Way of Southeast Minnesota Safety & Liability Waiver
United Way of Southeast Minnesota provides services in a manner that takes into consideration the needs of our community, while maintaining the safety of our staff and volunteers.
Please read and agree to the volunteer safety following protocols:
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I will practice safe heavy lifting techniques including bending hips and knees to squat down to the load, keeping the load close to the body, and straightening legs to lift.
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I will not volunteer if I have symptoms or have any reason to believe I could expose other volunteers to a contagious illness or virus.
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I will wear comfortable clothes, take breaks as needed, drink plenty of water and/or otherwise stay hydrated during my volunteer shift.
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I have read and agree to practice the above protocols during my volunteer shift with United Way of Southeast Minnesota, and I hereby assume all responsibility for any and all risk of property damage, bodily injury, or illness that I may sustain while participating in any voluntary projects, disaster relief effort, or other activity of any nature, including the use of equipment and facilities of United Way of Southeast Minnesota.
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Full Name
Phone Number
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Email
I agree to be contacted by United Way of Southeast Minnesota via Email
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Emergency Contact
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Emergency Contact Phone
If this release is obtained from a presenter under the age of 18, then the signature of that presenter's parnet or legal guardian is also required.
Are you 18 or older?
Yes
No
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Parent or Guardian Signature
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Date of Signature
United Way of Southeast Minnesota Volunteer Photo Release
I give United Way of Southeast Minnesota permission to use my name and/or photo in marketing materials:
Photo
Name
Neither / None
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Signature of Volunteer (By entering your full name you agree to the terms and acknowledge that this serves as your electronic signature)
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Date of Signature
Items marked with an asterisk(*) are required
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United Way of Southeast Minnesota
903 West Center Street Suite 100
Rochester, MN 55902
507-287-2000
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