Personal Information
Additional Opportunities
Agreement
Given the severity of the COVID-19 pandemic, if I elect to volunteer in person, I agree as follows:
Waiver & Release of Liability
· I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by volunteering in person and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 while volunteering in person may result from the actions, omissions, or negligence of myself and others, including, but not limited to, JA, school, or institution employees, volunteers, and program participants, students, and their families.
· I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my volunteering (“Claims”).
· I hereby release, covenant not to sue, discharge, and hold harmless JA, its employees, agents, representatives and affiliates, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of JA, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after volunteering.
Confirmation of Health
· To prevent the spread of COVID-19 and to reduce the potential risk of exposure to all parties, I confirm that I will not participate in any on-campus or in-person volunteer activities if I am showing any symptoms of COVID-19 (including but not limited to fever, dry cough, fatigue, shortness of breath, chills, muscle pains), or if I have had any known recent exposure to any individual diagnosed with COVID-19 or any individual currently waiting for test results confirming the possibility of a COVID-19 diagnosis. I agree that in such situations I will not volunteer on campus or in person until: (i) 14 calendar days after the symptoms first appeared and I am no longer showing any symptoms; or (ii) a healthcare provider has confirmed in writing that I have tested negative for COVID-19 or that my symptoms were not due to COVID-19.
· In addition, to prevent the spread of COVID-19 and reduce the potential risk of exposure to all parties, I will wear a mask or face covering as requested, I will strive to maintain adequate physical distance from all individuals, and I will follow any additional protocols communicated to me.