Volunteer Agreement and Release from Liability

1. Voluntary Participation: I acknowledge that I have chosen to volunteer for the Furniture Bank of Central Ohio (FBCO), an organization that provides free furniture to families and individuals in need. I understand as a volunteer that I will not be paid for my services, that I will not be covered by any medical or other insurance coverage provided by FBCO, and that I am to adhere to directions given to me by FBCO representatives supervising my volunteer efforts. I also understand that I have the right to decline participation in any task. INITIALS

2. Release: In consideration of the opportunity afforded to me to assist FBCO, I hereby agree that I, my assignees, heirs, guardians, and legal representatives, will not make claim against FBCO, or any of its affiliated organizations, donors, or their officers or directors collectively or individually, or against the supplier of any materials or equipment used, or against any of the volunteer workers, for the injury or death to me or damage to my property, however caused, arising from my participation. Without limiting the generality of the foregoing, I hereby waive and release any rights, actions, or causes of action resulting from personal injury or death to me, or damage to my property, sustained in connection with my participation. I further consent to the unrestricted use by FBCO and/or person(s) authorized by them of any photographs, recordings, interviews, videotapes, motion pictures, or similar visual recording of me. INITIALS

3. Acknowledgement of expectations: I understand that if I am volunteering for warehouse and/or woodshop work my involvement might include heavy lifting, bending, and the use of power tools, and that I will at all times comply with directions given to me by FBCO representatives supervising my volunteer efforts.


4. Photo Release: I hereby consent/do not consent to and authorize the use and reproduction by the Furniture Bank of Central Ohio of any and all photographs and any other audiovisual materials taken of me for promotional materials, educational activities, exhibitions or for any other use for the benefit of FBCO.

____ Consent ____ Non-Consent INITIALS

5. Health and Safety: I have read and understand the health and safety policies and procedures, and the Furniture Bank has reviewed these policies and procedures with me. I will adhere to these policies and procedures to the best of my ability. INITIALS

I hereby declare that the information provided by me in the application for volunteer service is true, correct and complete to the best of my knowledge. I understand that if given the opportunity to volunteer, any misstatement or omission of fact on this application is cause for immediate dismissal. I authorize Furniture Bank of Central Ohio to verify any information I have provided by contacting my current and former employers, educational and training institutions, personal sources, and other appropriate sources. I release reference sources from all liability or damages on account of furnishing information regarding my personal character, habits, performance, or disciplinary records. I further understand that if accepted as a volunteer at Furniture Bank of Central Ohio, my volunteer service will be at will, and that service at Furniture Bank of Central Ohio may be terminated with or without cause, and without notice, at any time, at the option of either Furniture Bank of Central Ohio or myself. I understand that background checks may be required as a condition of volunteering at Furniture Bank of Central Ohio and hereby consent thereto.

Volunteer Signature: ___________________________________________________ _______ Date:

Parent Signature (if under 18) ____________________________________________________ Date:

FBCO Staff Initials: __________________________________________________________ Date: