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VOLUNTEER WAIVER FORM

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Great Lakes Center, SAMC 319
SUNY Buffalo State
1300 Elmwood Ave., Buffalo, NY 14222

wnyprism@buffalostate.edu
(716) 878.4708

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Each volunteer must read and sign the WNY PRISM VOLUNTEER WAIVER OF LIABILITY before volunteering on any WNY PRISM sponsored or hosted event. Please complete this form and hand it to a WNY PRISM staff member before you volunteer.

This Waiver of Liability (the “Waiver”) executed on this _________ day of ___________, _______ by _____________________________________ (the “Volunteer”) in favor of WNY PRISM (Partnership for Regional Invasive Species Management), a sponsored program of The Research Foundation for SUNY at Buffalo State College, a nonprofit corporation organized and existing under the laws of the State of New York, USA.
Please fill out name and date below.

I, the Volunteer, desire to work as a volunteer for WNY PRISM and engage in the activities related to being a volunteer for a work project.

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

  1. Waiver and Release. I, the Volunteer, release and forever discharge and hold harmless WNY PRISM and its 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 my volunteer work with WNY PRISM.
  2. Insurance. I, the Volunteer, understand that I expressly waive any such claim for compensation or liability on the part of WNY PRISM beyond what may be offered freely by the representative of WNY PRISM in the event of such injury or medical expense.
  3. Medical Treatment. I hereby release and forever discharge WNY PRISM from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my time with WNY PRISM.
  4. Assumption of the Risk. I understand that my time with WNY PRISM may include activities that may be hazardous to me, including, but not limited to, work in variable weather conditions, at remote locations and on difficult and hazardous terrain, invasive species removal using mechanical or chemical means, loading, unloading and carrying of heavy equipment and materials, and local transportation to and from the work sites. I hereby expressly and specifically assume the risk of injury or harm in these activities and release WNY PRISM from all liability for injury, illness, death, or property damage resulting from the activities of my time with WNY PRISM.
  5. Photographic Release. I grant and convey unto WNY PRISM all right, title, and interest in any and all photographic images and video or audio recordings made by WNY PRISM during my work for WNY PRISM, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.
  6. Other. I expressly agree that this Waiver is intended to be as broad and inclusive as permitted by the laws of the State of New York 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 New York. 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.

To express my understanding of this release, I sign here.

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