Waiver & Release
I understand that as a UCP Heartland volunteer, my volunteer activities may involve physical activity and other potential risks of injury. I hereby assume the risk for any accident or injury, to person or property, which I may sustain in conjunction with my participation as a volunteer. In addition, in return for being allowed to participate UCP Heartland’s volunteer activities and all related activities, I hereby release, hold harmless, and agree not to sue UCP Heartland or any of its successors, directors, officers, employees or affiliates (the Released Parties) for any claims arising from or related to my participation as a UCP Heartland volunteer, including any claims for property damage or injury, that may be made by me, my estate, or my assigns. I understand and agree that the Released Parties are not responsible for any injury or property damage related to my participation as a volunteer even if caused by their ordinary negligence or otherwise. I further understand that this agreement is intended to be as broad as permitted by the laws of Missouri and I agree that if any portion of this agreement is determined to be invalid, all valid, remaining portions will continue in full force and legal effect. UCP Heartland has my permission to share the information on this application with any prospective employer or, in case of emergency, to notify my emergency contact. I understand all information submitted within this application will be held in confidence according to the personnel policies of UCP Heartland. I further understand that an interview with UCP does not guarantee placement within their volunteer programs.

About Volunteer Status
I further understand and acknowledge that as a volunteer I will not be considered an employee of UCP Heartland and I will not be receiving compensation or benefits for my volunteer services. I am also willing to participate in all required training and complete all required forms as designated.

Photo and Publicity Release
I hereby release and hold harmless UCP Heartland and any of its successors, directors, officers, employees or affiliates from any and all liability for any claims by me or any third party in connection with my participation or in connection with any copying, modification, adaption, reproduction, display, or other dissemination of the above mentioned photos, images, video recordings and/or other visual or audio representations and the like , including, but not limited to, any infliction of emotional distress, defamation, or right to privacy claims. I acknowledge that my participation is voluntary and that I will not receive financial compensation of any type associated with the above mentioned photos, images, video recordings, etc. I further acknowledge and agree that publication of said photos, images, video recordings, etc. confers no rights to me of ownership or royalties whatsoever.

Permission for Emergency Medical Treatment
I understand that every attempt is made to ensure the safety of persons volunteering in United Cerebral Palsy Heartland (UCP) programs. When illness or accident occurs at a UCP Heartland program or activity site or during Agency transportation, a designated responsible adult will be contacted as soon as possible. There are times when the designated individual cannot be reached quickly enough to meet the immediate need.

In the event of accident or illness requiring Emergency Medical Treatment by a physician or hospital, I hereby authorize UCP Heartland to secure necessary treatment for me.

I further agree to assume financial responsibility for any such Emergency Medical Treatment and related costs.