The Volunteer desires to work as a volunteer for CEA Dental and engage in activities related to being a volunteer. The Volunteer understands that the Activities may include, but are not limited to, organizing, cleaning, preparing meals, performing yard maintenance, remodeling, repair and up keep of buildings, moving household furnishings and fixtures, loading and unloading supplies, interacting with clients, and providing clerical support in CEA Dental offices. The Volunteer does hereby freely, voluntarily, and without duress execute this Release under the following terms:
1. RELEASE AND WAIVER: Volunteer, for him/herself and his or her legal representatives, spouse, heirs and assigns, does hereby release and forever discharge and hold harmless CEA Dental and its officers, directors, trustees, employees, agents, insurers and representatives, successors and assigns from any and all liability claims and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from Volunteer’s Activities with CEA Dental.
Volunteer understands that this Release discharges CEA Dental from any liability or claim that the Volunteer may have against CEA Dental with respect to any bodily injury, personal injury, illness, death, or property damage that may result from Volunteer’s Activities with CEA Dental, whether caused by the negligence of CEA Dental or its officers, directors, employees, or agents or otherwise. Volunteer covenants not to bring any action against CEA Dental for any such injury or damage. Volunteer also understands that CEA Dental, does not assume any responsibility for or obligation to provide financial or other assistance including but not limited to medical, health or disability insurance in the event of injury or illness.
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2. MEDICAL TREATMENT: Volunteer does hereby release and forever discharges CEA Dental 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 CEA Dental. Volunteer authorizes CEA Dental to act, in its best judgment, on Volunteer’s behalf in case of an emergency.
3. ASSUMPTION OF THE RISK: The Volunteer understands that the Activities may include work that may be hazardous to the Volunteer, including, but not limited to, organizing, cleaning, preparing meals, performing yard maintenance, remodeling and rehabilitation of buildings, moving household furnishings and fixtures, loading and unloading supplies, interacting with clients and providing clerical support in CEA Dental offices.
Volunteer hereby expressly and specifically assumes the risk of injury or harm in the Activities and releases CEA Dental from all liability for injury, illness, death, or property damage resulting from the Activities.
4. VOLUNTARY SERVICE: Volunteer understands and acknowledges that he/she may decline any volunteer role or position at any time if he/she feels such role or position presents a risk to health or safety or for any other reason. Volunteer agrees to advise CEA Dental of any preexisting conditions that would preclude involvement in any activity.
5. INSURANCE: The Volunteer understands that, except as otherwise agreed upon by CEA Dental in writing, CEA Dental does not carry or maintain health, medical, disability or Workers Compensation insurance coverage for any volunteer.
6. OTHER: Volunteer expressly agrees that the Release is intended to be as broad and inclusive as permitted by the laws of the State of California, and that this Release shall be governed by and interpreted in accordance with the laws of the State of California. 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 affect the remaining provisions of this Release which will continue to be enforceable. Volunteer represents that he/she is 18 years of age or older.
PHOTOGRAPHIC RELEASE: Volunteer does hereby grant and convey unto CEA Dental all right, title and interest in any and all photographic images and video or audio recordings made by CEA Dental during the Volunteer’s Activities with CEA Dental, including, but not limited to, any donations, proceeds, or other benefits derived from such photographs or recordings.

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VOLUNTEER SERVICE AGREEMENT

The undersigned volunteer (“Volunteer”) agrees to donate services to CEA Dental and to perform volunteer functions and assist with events, functions, and activities. It is mutually and expressly understood that CEA Dental Services shall be donated, that Volunteer is not entitled to nor expects any present or future salary, wages, or other benefits for such CEA Dental Services.

In consideration of Volunteer being permitted to perform CEA Dental Services, Volunteer (i) for himself/herself, his/her spouse, legal representatives, heirs, and assigns (collectively, “Volunteer Parties”), hereby forever unconditionally waives all claims (in law, equity, or otherwise) against CEA Dental, their respective subsidiaries and affiliates, their respective officers, trustees, officials, employees, and agents, and other volunteer dental service providers, and each of them (collectively, CEA Dental), arising out of, knowingly and voluntarily assumes the risk of, and agrees that CEA Dental Parties shall not be liable to Volunteer Parties for, any injury to or death of any person, or loss of, injury or damage to, or destruction of any tangible or intangible property, including the resulting loss of use, economic losses, and consequential or resulting damage of any kind from any cause; and (ii) further agrees to undertake to indemnify, defend, and hold harmless CEA Dental Parties from and against any and all claims, actions, damages, liabilities, costs and expenses (including reasonable attorneys’ fees and expenses), from any cause arising out of or relating to Volunteer’s performance of CEA Dental Services, including any act, error, omission, or negligence of Volunteer in, on, or about the premises or building at which the CEA Dental Services are performed.

With respect to the exculpation provided in the foregoing paragraph, Volunteer waives the benefits of California Civil Code section 1542, which provides:

A general release does not extend to claims which the creditor does not know or suspect to exist in his or her favor at the time of executing the release, which if known by him or her must have materially affected his or her settlement with the debtor.
In compliance with the federal and state privacy laws, Volunteer further agrees to hold in confidence all personal and protected health information he/she may overhear or come in contact with during and following the performance of CEA Dental Services.

Volunteer also grants CEA Dental, and their respective agents the right to use, without payment of consideration of any kind, his/her picture, voice, and other reproductions of his/her physical likeness in connection with advertising or publicizing CEA Dental services and activities in all forms of media in perpetuity.

I have read this agreement, including the release and waiver of liability, and fully understand its terms, understand that I will give up substantial rights by signing it (below) and have signed it freely and voluntarily without any inducement, assurance, or guarantee being to me, and intend my checking of box to agreement to be a complete and unconditional release of all liability.

Please check box to acknowledge you understand the statements listed above and agree: