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Contract# IRL2022-07 <br />Encumbrance# GLO1-1895/GLO1-2205 <br />ATTACHMENT D — <br />INDIAN RIVER COUNTY <br />Volunteer Sign-up and Release of Liability Form <br />To be signed by all persons engaging in volunteer activities on the date of the activity <br />Date: ; Project: <br />By my signature below, I acknowledge I am over the age of 18, and acknowledge and <br />agree to the following: <br />(1) I certify that I have no medical conditions or restrictions that would prohibit <br />me from acting as a volunteer. INDIAN RIVER COUNTY ("IRC") and the <br />IRL Council ("COUNCIL") do not assume any responsibility for evaluating my <br />medical condition or determining my fitness to perform volunteer activities. I <br />must comply with all IRC and COUNCIL policies and regulations, including <br />safety guidelines. <br />(2) I am not a volunteer for the COUNCIL, and I am not an employee of IRC or <br />the COUNCIL. At all times I am acting as an unpaid, independent volunteer, <br />and as such, am not entitled to any provision of law regarding IRC or <br />COUNCIL employment; nor any laws relating to hours of work, rates of <br />compensation, leave time or employee benefits. <br />(3) I recognize and understand that I am at all times responsible for my own safety <br />and the safety of others, and that in performing volunteer activities I may <br />encounter natural or other hazards. I assume the risk of any such hazards and <br />recognize that I am responsible for staying alert as to potential hazards and <br />taking appropriate steps, including discontinuing any activities that involve a <br />risk of bodily harm. <br />(4) I understand that I am volunteering for a project under the sole operation and <br />control of the IRC. The Council is merely a funding entity and has no control <br />over the conditions, tasks, or methods by which the volunteer activities are <br />conducted. <br />(4) I hereby hold and save IRC and the COUNCIL, its directors, officers, employees <br />and representatives, harmless from, and agree to indemnify same against, any <br />and all claims and losses that may be made by me or my heirs, spouse, or other <br />persons, for personal injury, loss of life, or property damage that may result <br />from my participation as a volunteer. This waiver and indemnity obligation <br />include claims based upon my partial or sole negligence or that of IRC and <br />COUNCIL. <br />Page 21 <br />