In completing this form, I understand and agree to the following terms and conditions related to volunteering my services to Bread of Life Mission.

I recognize that, as a volunteer I represent the above organization to the public. I accept the responsibility for this status and will conduct myself in a professional manner.

I agree to maintain the confidentiality of all volunteers, clients, and donors about whom I have personal and identifying information. I will not disclose the names of and personal details about guests and residents, nor details that are revealed to me, nor information I may hear about guests, residents, donors, staff members, volunteers or other individuals during my service with Bread of Life Mission.

I agree to honor the commitment length and frequency of service that I make to Bread of Life Mission. I agree to provide as much advance notice as is possible in the event that I will be absent from my volunteer shift. I agree to update my personal and emergency information as changes occur.

I understand that some volunteer activities may pose the risk of serious injury or even death to me and involve the use of or exposure to tools, electrical, and other equipment that may cause harm. I understand and acknowledge that injuries may result not only from my own actions, but also may be caused by the negligence or actions of other volunteers, staff, clients and other agents of Bread of Life Mission. I voluntarily assume all of the risks of and accept personal responsibility for all damages and losses which may result during my activities as a volunteer with Bread of Life Mission. I hereby release, waive, discharge and covenant not to sue Bread of Life Mission and any of its members, principals, officers, directors, employees, agents, representatives, successors and assigns to hold them harmless from and as to any and all liability, losses, damages, or costs of any kind or of any nature that are caused by, result from, or are related in any way to Bread of Life Mission and my volunteer actvities.

I understand that if I bring any minor children with me while performing volunteer activities, I am solely responsible for supervising and ensuring their safety. I agree to indemnify and hold Bread of Life Mission and its members, principals, officers, directors, employees, agents, representatives, successors and assigns harmless from and against any and all loss, liability, expense or damages, including (without limitation) attorney’s fees, which any of them may incur as a result of personal injury, death or property damage sustained by any child accompanying me on volunteer activities.

While BOLM endeavors to keep out anyone who is a threat, I understand that program members, guests and/or visitors may have been involved in criminal activity and/or been convicted of crimes, including sexual offenses.

I grant permission for Bread of Life Mission to use my image/likeness in their public communications without payment or compensation.

I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and I agree to it of my own free will.