Parent/Guardian Volunteer Consent and Release
The following guidelines are included in the Puppy Raising Volunteer Application and are agreed upon when an application involving a youth is completed and signed.
All parents, guardians, or adults working with youth agree to follow the guidelines within Ensuring the Safety of Youth.
In the course of employment, volunteerism, or other involvement with Guide Dogs for the Blind (GDB):
- Any employee, volunteer, parent, guardian, or other person who has a history of any behavior that would indicate a potential inappropriateness for their interaction with youth (below the age of 18) may not interact directly with youth in an instructional, advisory, or supervisory capacity.
- All applicants (employees, volunteers, parents, guardians, and others) who interact directly with youth in an instructional, advisory or a supervisory capacity must undergo a valid application and successful background-screening process and have subsequent screenings every five years.
- Continuation of one's volunteer duties for GDB serves as that person's consent that they will support and adhere to GDB guidelines and that they do not have any history, legal or otherwise, which may reflect on the appropriateness of direct interaction with youth.
- For the protection of all involved: GDB staff and volunteers are strongly encouraged to avoid being alone with a youth who although not in the course of employment or involvement with GDB, may be involved in or may have completed a puppy raising project.
All parents or guardians of youth volunteers must sign the Parental/Guardian Volunteer Consent and Release form for their volunteer youth who will participate in GDB activities, functions, or events.
As parent/guardian of the above individual(s), I hereby give my consent for the above-named person(s) to attend GDB events. I also hereby waive and forever discharge claims for damages suffered in connection with GDB-sponsored events that the above-listed individual(s), their heirs, executors, and administrators may have or accrue against GDB, its representatives, agents, and volunteers.
As parent/guardian of the above individual(s), I, on behalf of myself and the above individual(s), hereby waive and forever agree in the event any claim for bodily injury, personal injury, property damage, or wrongful death arising out of the above individual’(s) volunteer services shall be prosecuted against GDB, to defend, indemnify, and hold harmless GDB from and against any and all such claims or causes of action by whomever, wherever made or presented, to the fullest extent permitted by law.
I understand that as a volunteer, the volunteer services that my youth will provide to GDB will be for civic, charitable, or humanitarian reasons without any promise, expectation, or receipt of compensation for the services rendered.
I have read and understand and agree to the above listed statement.
I understand that as a volunteer, and in carrying out volunteer responsibilities for GDB, my youth will not be covered by worker’s compensation insurance and that I will be responsible for any and all costs of any medical service or treatment provided, including medical costs, insurance costs, and co-pays.
In the event of an accident or injury, medical coverage will be provided under my family’s or youth’s health plan and/or my expense.
In case of emergency, I understand that every effort will be made to contact me. In the event that I cannot be reached, I hereby give permission to a physician selected by a representative of GDB to hospitalize and secure proper treatment (including surgery) for my youth.
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