Page 1 of 2Volunteer's InformationFull Name*Email address*Phone Number*Address*Age*10 - 1616 - 2222 - 3030+Emergency contact informationContact (Name)*Contact (Phone)*Contact (Address)Volunteer OpportunitiesProfession/Occupation*I am interested in the following volunteer opportunities:*Ramadan/Taraweah AssistanceAdministration ServicesSocial and Welfare CommitteeWomen CommitteeManagement CommitteeEducation CommitteeYouth CommitteeIT & CommunicationsAl Mizaan AcademyOffice of ImamDawah CommitteeFundraising TeamFinance CommitteePlanning & Construction CommitteeOtherOther:*NextRelease and Waiver of LiabilityI Agree to the Release and Waiver of Liability*PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS! The Volunteer desires to work as a Volunteer for the Islamic Center of Morrisville (ICM) and engage in the Activities related to being a volunteer (the “Activities”). The Volunteer understands that the Activities may include constructing and rehabilitating residential buildings, working in the ICM offices and other locations of any operations. The Volunteer hereby freely, voluntarily and without duress executes this Release under the following terms: Release and Waiver. The Volunteer does hereby release and forever discharge and hold harmless ICM and its successors and assigns from any and all liability, claims and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from the Volunteer’s Activities with ICM. The Volunteer understands that this Release discharges ICM from any liability or claim that the Volunteer may have against ICM with respect to any bodily injury, personal injury, illness, death, or property damage that may result from the Volunteer’s Activities with ICM, whether caused by the negligence of ICM or its officers, directors, employees, agents or otherwise. The Volunteer also understands that ICM does not assume any responsibility for or obligation to provide financial assistance or other assistance, including, but not limited to, medical, health or disability insurance in the event of injury or illness. Medical Treatment: The Volunteer does hereby release and forever discharge ICM from any claim whatsoever which arises or may hereafter arise on account of any first-aid, treatment, or service rendered in connection with the Volunteer’s Activities with ICM. Assumption of the Risk: The Volunteer understands that the Activities include work that may be hazardous to the Volunteer, including, but not limited to, construction, loading and unloading, as well as transportation to and from the work sites. The Volunteer hereby expressly and specifically assumes the risk of injury or harm in the Activities and releases ICM from all liability for injury, illness, death or property damage resulting from the Activities. Insurance: The Volunteer understands that, except as otherwise agreed to by ICM in writing; ICM does not carry or maintain health, medical or disability insurance coverage for any Volunteer. EACH VOLUNTEER IS EXPECTED AND ENCOURAGED TO OBTAIN HIS OR HER OWN MEDICAL OR HEALTH INSURANCE COVERAGE. Photographic Release: The Volunteer does hereby grant and convey unto ICM all rights, titles and interests in any and all photographic images and video or audio recordings made by ICM during the Volunteer’s Activities with ICM, including, but not limited to, any royalties, proceeds or other benefits derived from such photographs or recordings. Other: The Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of North Carolina, and that this Release shall be governed by and interpreted in accordance with the laws of the State of North Carolina. The Volunteer agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise impact the remaining provisions of the Release which shall continue to be enforceable.I AgreeSign your name*Please type the characters*This helps us prevent spam, thank you.BackSendThis field should be left blank