Name of volunteer *

First

Last

Email address *

Phone *

Age of volunteer *

18 years old or older
Younger than 18 years old (parental consent required)

WAIVER AND RELEASE OF LIABILITY

As a volunteer, I release and hold harmless Freewheels Houston and all of its partners and successors from any and all claims, costs, suits, actions, judgments or expenses upon any damage, loss or injury to me or to my property which may arise from this volunteer event.

I acknowledge that I am fully aware of any and all risks posed by these volunteer activities and that I have no medical condition that prevents me from engaging in them.

I agree and understand that I must comply with the rules and regulations established from time to time by Freewheels Houston as well as direction from senior volunteers. The failure to do so may result in my immediate removal as a volunteer.

I also give permission to be photographed by project partners or the media for use in printed materials, through the internet or through other media outlets.

VOLUNTEER RELEASE — PLEASE ACKNOWLEDGE *

I acknowledge that I have read and understood all of the terms of this Release and that I am voluntarily giving up substantial legal rights. I agree to follow all of Freewheels’ rules and procedures. I also grant my permission to use my voice, name, likeness, photograph or videotaped image.

Date *

PARENTAL CONSENT REQUIRED FOR MINORS UNDER THE AGE OF 18

I am the parent or legal guardian of the volunteer named above, and I hereby consent to and authorize the above-named minor to act as a volunteer for Freewheels Houston. I acknowledge and agree that activities performed by the above-named minor as a volunteer will be perfformed strictly on a voluntary basis, without any pay, compensation or benefits. I agree and understand that the above-named minor must comply with the rules and regulations established from time to time by Freewheels Houston as well as direction from senior volunteers. Failure to do so may result in the above-named minor’s immediate removal as a volunteer.

I also give permission for the above-named minor to be photographed by Freewheels Houston or the media for use in printed materials, through the internet or through other media outlets.

PARENTAL CONSENT REQUIRED. *

I acknowledge that I have read and understood all of the terms of this Release and that I am voluntarily giving up substantial legal rights on behalf of the minor and myself.

Date *

Name of parent or guardian

First

Last

Parent's email *

Parent's phone *

Waiver document revised 01/21/2025