• Emergency Contact

  • Medical Information

  • Date Format: YYYY dash MM dash DD
  • This Release and Waiver of Liability (the "Release" is executed on the date listed below by the individual whose signature appears below (the "Volunteer"), in favor of Second Chance Inc., a nonprofit corporation, their directors, officers, employees and agents (collectively, "Second Chance, Inc."). The Volunteer desires to work for Second Chance Inc. and engage in the activities (the "Activities") related to being a volunteer. The Volunteer understand that the Activities may include constructing and rehabilitating residential buildings, working in Second Chance Inc.'s offices and its retail operations (warehouse). The Volunteer understand that this release is valid for all occasions when the Volunteer is involved in activities relates to Second Chance, Inc.
  • Date Format: YYYY dash MM dash DD
  • IN WITNESS WHEREOF, Volunteer has executed this Release as of the the day and year above entered.