Last Reviewed: [Last Review Date]

A HABITAT FOR HUMANITY KNOWLEDGE CENTER DOCUMENT

Volunteer Agreement,
Release and Waiver of Liability

PLEASE READ CAREFULLY!

THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!

This Release and Waiver of Liability (the “Release”) is executed on this day of_______,
20___, by , ____________________________________________________(the
Yeo Jun Ming “Volunteer”), in
favor of
[insert name of local affiliates or national
organizations], Habitat for Humanity International, Inc. and any other Habitat for Humanity affiliated
organization, [insert any
additional parties if applicable, such as sponsors/donors] and their respective affiliates, directors,
officers, trustees, employees, sponsors, donors, volunteers and agents (collectively, the “Released
Parties”).

I, the Volunteer, desire to work as a volunteer for one or more of the Released Parties without
compensation and engage in the activities related to being a volunteer. I understand that my activities
may include but are not limited to the following: working at Habitat for Humanity offices and worksites;
working in or for Habitat for Humanity ReStore operations; loading and unloading materials; traveling to
and from work sites, towns, cities or countries; consuming food available or provided; living in housing
provided for volunteers; assisting in disaster relief areas; constructing, repairing, and rehabilitating
residential buildings; other construction-related activities; and other in-person and/or online volunteer
activities ("Activities").

I, the Volunteer, understand that my Activities may include work that may be hazardous to me, including,
but not limited to, exposure to lead, asbestos and mold, which may cause or worsen certain illnesses,
especially if I do not wear protective equipment, am exposed for extended periods of time, or have a pre-
existing immune system deficiency.

I also understand there is some inherent risk in consuming local foods and living in local accommodations
in the city(ies) or country(ies) visited. I further understand I may be traveling to and from locations where
there is a risk of terrorism, war, insurrection, criminal activities, instability, inclement weather or other
circumstances that could threaten my health or safety. I also understand that it is the policy of the
Released Parties not to pay ransom or make any other payments to secure the release of hostages.

I, the Volunteer, hereby freely, voluntarily and without duress execute this Release under the following
terms:

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Release and Waiver. I, the Volunteer, acknowledge and understand that participation in the Activities
may involve certain risks, including, but not limited to, personal injury(ies), bodily injury, illness, permanent
disability, property damage, loss and/or death (“Risks”). These Risks include, but are not limited to,
exposure to and/or infection with COVID-19 and/or other viruses and/or bacterial infection even in ideal
conditions, and despite any and all reasonable efforts made to mitigate such Risks. I further acknowledge
and agree that, due to the nature of the Activities, social distancing of six feet per person will not always
be possible and that my participation in the Activities may result in an elevated risk of contracting COVID-
19 and/or other viruses and/or bacterial infection.

I, the Volunteer, further confirm that prior to engaging in the Activities, I may be required to complete a
COVID-19 health screening questionnaire provided by one or more of the Released Parties. I agree that I
will answer all questions on the questionnaire truthfully. I agree to not participate in any Activities if, at
such time and to the best of my knowledge, I am a carrier of COVID-19 or infected with COVID-19. I
further agree to follow all safety precautions outlined by any Released Party while volunteering.

In consideration of and in order to be allowed to participate in the Activities, I do hereby release and
forever discharge and hold harmless the Released Parties and their successors and assigns from any
and all liability, claims, demands, costs and damages of any kind, whether arising from tort, contract or
otherwise, which I or my heirs, assigns, next of kin or legal representatives may have or which may
hereinafter accrue, arise from, or are in any way related to my Activities with any of the Released Parties,
including but not limited to Risks, whether caused wholly or in part by the simple negligence, fault or other
misconduct of any of the Released Parties or of other volunteers, other than their intentional or grossly
negligent conduct. In addition, the Released Parties shall have the benefit of any future liability protection
for businesses as relating to the COVID-19 pandemic passed by any governmental entity to which the
Released Parties are subject.

I understand and acknowledge that by signing this Release I knowingly assume the Risks associated with
the Activities. I also understand that the Released Parties do 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, illness, death or property damage. Regarding any illness or
virus, including COVID-19, I, the Volunteer, understand that even if I follow all guidelines for the
prevention and handling of any illness or virus, including COVID-19, there is still a risk that Volunteer
could contract such virus or illness.

I understand and acknowledge that children under the age of 16 are not allowed on Habitat for Humanity
worksites while construction is in progress. While minors between the ages of 16 and 18 may be allowed
to participate in some types of build site activities, solely as outlined by the Released Parties, I
understand that using power tools, excavation, demolition, working on rooftops and similar activities are
not permitted for anyone under the age of 18. I agree it is my responsibility to communicate these
requirements to any of my minor children who will attend and/or participate in the Activities.

Consent to Transportation and Medical Treatment. I consent to the use of first aid treatment and the
use of generic and over-the-counter medications and treatments as directed by manufacturer labels,
whether administered by the Released Parties or first aid personnel. In an emergency, I understand the
Released Parties may try to contact the individual listed below as an emergency contact. If an emergency
contact cannot be reached promptly, I hereby authorize the Released Parties to act as an agent for me to
consent to any examination, testing, x-rays, medical, dental or surgical treatment for me as advised by a
physician, dentist or other health care provider. This includes, but is not limited to, my assessment,
evaluation, medical care and treatment, anesthesia, hospitalization, or other health care treatment or
procedure as advised by a physician, dentist or other health care provider. I also authorize the Released

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Parties to arrange for transportation of me as deemed necessary and appropriate in their discretion. I, the
Volunteer, do hereby release, forever discharge and hold harmless the Released Parties from any liability,
claim, demand, and action whatsoever brought by me or on my behalf which arises or may hereafter arise
on account of any transportation, first aid, assessment, care, treatment, response or service rendered in
connection with my Activities with any of the Released Parties.
If the Volunteer is less than 18 years of age, the parent(s) having legal custody and/or the legal
guardian(s) of the Volunteer also hereby release, forever discharge and hold harmless the Released
Parties from any liability, claim, demand and action whatsoever brought by such volunteer or on his/her
behalf which arises or may hereafter arise on account of the decision by any representative or agent of
the Released Parties to exercise the power to transport, administer first aid, and consent to assessment,
examination, x-rays, medical, dental, surgical or other such health care treatment as set forth in the
Parental Authorization for Treatment of, and Travel With, a Minor Child.

Insurance. I understand that, except as otherwise agreed to by the Released Parties in writing, the
Released Parties are under no obligation to provide, carry or maintain health, medical, travel, disability or
other insurance coverage for any Volunteer. Each Volunteer is expected and encouraged to obtain his or
her own health, medical, travel, disability or other insurance coverage.

I understand that I am and remain responsible for payment of such hospital, physician, ambulance,
dental, medical or other services obtained for me or my child. I agree that the Released Parties do not
assume any responsibility for the payment of such fees or expenses which may be incurred. If I have
health insurance, I understand my personal health insurance is my primary coverage.

Confidentiality. I agree that in the course of my participation in the Activities, I may have access to
personal and/or health care information of other persons. I agree to maintain the confidentiality of such
information, to use such information only as necessary to do my job as a volunteer, and to comply with
Habitat for applicable policies regarding such information.

Authorization for Release of Protected Health Information. I authorize the following entities to
disclose my health information to Habitat for Humanity International, Inc., its affiliated companies, and
their officers, directors, volunteers, agents, employees and their authorized representatives (for purposes
of this paragraph, collectively "Habitat"): Starr Insurance Companies, Starr International Company, Inc.,
C.V. Starr & Co., Inc., and its affiliated companies, and any authorized representatives ("Company"). My
health information includes any and all information relating to my health which is in the possession of
Company, including but not limited to medical and dental records, medical consultations, treatments, or
surgeries; psychiatric or psychological care; use of drugs or alcohol; drug prescriptions; and
communicable diseases, including HIV/AIDS. I understand the health information to be disclosed includes
information protected under Federal and State law, including regarding mental health, substance abuse,
developmental disabilities, infectious/communicable diseases, privileged communications and genetic
information. I understand that the disclosure to Habitat is for the following purposes: eligibility
confirmation; claim submission facilitation; claim inquiry and dispute resolution; fraud detection; and audit
and quality control services. I understand that the signing of this Authorization is voluntary and is not
required to receive benefits under any Company insurance policy. I understand that I may request a copy
of this Authorization. I agree that a photographic copy of this Authorization shall be as valid as the original.
I understand that this Authorization is valid for the longer of 12 months or the duration of any claim for
benefits under any Company insurance policy, but in no event longer than 24 months. I understand that I
may revoke this Authorization at any time by providing written notification to the Company at
Administrative Concepts, Inc. 994 Eagle School Road, Suite 1005, Wayne, PA 19087-1082. Such
revocation shall not have any effect on actions that the Company and/or Habitat took in reliance on the

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Authorization prior to each receiving notice of the revocation.

Photographic/Recording Release. I hereby grant and convey unto the Released Parties all right, title
and interest in any and all photographs and video/audio/electronic recordings of me, including as to my
name, image and voice, made by or on behalf of any of the Released Parties during my Activities with the
Released Parties, including, but not limited to, the right to use such materials for any purpose and to any
royalties, proceeds or other benefits derived from them. I understand that I will not have any ownership
interest in or to such photographs, images and/or recordings, I have not been provided or promised any
compensation to me, and I hereby waive any rights, privileges or claims based on any right of publicity,
privacy, ownership or any other rights arising, relating to or resulting from the photographs, images and/or
recordings. I understand and agree that this paragraph also applies to my minor child(ren) who are
volunteering.

Self-Declaration: I, the Volunteer, hereby warrant that, other than a minor offence under road traffic
legislation or for which a non-custodial penalty was imposed, I have not been convicted of any criminal
offence in any jurisdiction. I further warrant that I have not been convicted of a criminal offence which is
sexual in nature; or that is against or involving a child, minor, mentally incapacitated person or other
vulnerable person within the meaning of any legislation, rule, regulation, statutory guidance or under
common law, in any jurisdiction. I agree to provide such documentation and to undergo such further
background checks to confirm this fact as may be required by Habitat for Humanity in any jurisdiction in
which I have resided or spent a significant amount of time, provided it is possible to obtain such
documentation or conduct such checks in the relevant jurisdiction. Nothing in this clause is intended to
reduce or extinguish my right not to disclose such information in accordance with applicable local law.

Visit Authorization: I, the Volunteer, agree that any personal follow-up from the Activities, for example, a
subsequent home visit of the homeowners, shall not be done without prior consultation with and written
approval from Habitat for Humanity Singapore.

Other. I expressly agree that this Release is intended to be as broad and inclusive as permitted by state
law. I further agree that in the event any clause or provision of this Release is held invalid by any court of
competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining
clauses or provisions of this Release, which shall continue to be enforceable. Further, a waiver of a right
under this Release by a Released Party does not prevent the exercise of any other right.

I have carefully considered my decision, the benefits and risks involved, and hereby give my informed
consent to participate in all volunteer Activities. I have read and understand this Release and Waiver of
Liability, I acknowledge that any questions of mine have been answered, and I voluntarily agree to the
above provisions. It is my intent to bind my heirs, next of kin, assigns and legal representative.

SIGNATURE OF VOLUNTEER 18 YEARS OR OLDER:

Volunteer: Name (please print):_________________________Signature: _________________________

Address: ____________________________________________________________________________

Phone: (H) ________________ (C)________________Email: __________________________________

Date of Birth: _________________________________________________________________________

Witness: Name (please print):__________________________ Signature:_________________________

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EMERGENCY CONTACT INFORMATION FOR VOLUNTEER OVER 18 YEARS OF AGE:

Name :_________________________________ Relationship: ______________________________

Address: _________________________________________________________________________

Phone: (H) ____________________ (C) _____________________ (W) _____________________

Email: _______________________________________________________________________
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IMPORTANT: If the Volunteer is less than 18 years of age, all parents or guardians must complete
the signature section below. If only one parent or guardian signs these forms on behalf of a Volunteer
who is under 18 years of age, then the undersigned parent or guardian of the Volunteer hereby
covenants, warrants, represents and agrees that he or she is executing these forms on behalf of, and as
an agent for, any other individual who may be a parent or guardian of the Volunteer, that he/she is fully
authorized to do so, and that by executing such Release and Parental Authorization, the undersigned is
binding himself/herself, the Volunteer, and any other parent or guardian of the Volunteer, and all of their
heirs, next of kin, assigns, and legal representatives to such Release and Parental Authorization.

Name of Volunteer Under 18 Years Old:

Yeo Jun Ming

Name:_______________________________________________ 31/12/2006
Date of Birth:____________________

SIGNATURE OF PARENT/GUARDIAN SIGNING ON BEHALF OF THE ABOVE MINOR:

I have carefully considered my decision, the benefits and risks involved and hereby give my informed
consent, on behalf of the above listed minor child, for him/her to participate in all Activities as set forth in
the above Volunteer Agreement, Release and Waiver of Liability, and such terms are incorporated herein.
I have read and understand the above Volunteer Agreement, Release and Waiver of Liability, any
questions of mine have been answered, and I voluntarily agree to all such provisions. It is my intent to
bind my and the minor Volunteer's heirs, next of kin, assigns, and legal representatives. Furthermore, I
understand that the above Volunteer Agreement, Release and Waiver of Liability is made on behalf of my
 o c d( e ) a d/o ega a ds a d ep ese t a d a a t to ab tat o u a ty te at o a , c
or its affiliated organizations that I have the full authority to sign this on behalf of such minor(s).

Yeo Chin Chung

Parent/Guardian: Name (please print): ___________________ Signature: ________________________
Bidadari Park Dr Blk 104 #10-69 341104
Address:____________________________________________________________________________
-
Phone: (H) ________________ 87952006
(C) ________________ junming1231@gmail.com
E-mail:_________________________________
Witness: Name (please print): __________________________
Chen Qin Signature: ________________________
-
Parent/Guardian: Name (please print): ___________________ -
Signature:_________________________
Address:____________________________________________________________________________
-
-
Phone: (H) ________________ -
(C)________________ -
E-mail: ________________________________
-
Witness: Name (please print):_____________________Signature: -
______________________________

Yeo Chin Chung

Name :_________________________________ Father
Relationship: _____________________________

Bidadari Park Dr blk 104 #10-69 341104

Address:________________________________________________________________________

-
Phone: (H) ____________________ 97403625
(C) ___________________ -
(W) _____________________

junming1231@gmail.com
Email: _____________________________________________________________________

EMERGENCY CONTACT INFORMATION FOR THE ABOVE LISTED MINOR VOLUNTEER:

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REVISION HISTORY

Date Explanation
July 2020 The volunteer waiver template was reviewed in July 2020 as part of a regularly
scheduled legal review process. While the previous waiver template contained broad
assumption of risk language, additional language was added to expressly address
COVID-19 related risks. This includes requiring that all volunteers agree to comply
with all COVID-19 protocols set by Habitat, as well as specific and increased release
language for COVID-19 related damages. In addition to COVID-19 updates, the July
2020 version of the volunteer waiver template makes minor adjustments to the youth
activities and photo release sections. Lastly, it addresses situations where only one
parent or legal guardian is signing on behalf of a minor. Affiliates should continue to
consult with their Boards and local counsel for state-specific issues related to volunteer
waivers.

June 2021 The volunteer waiver was updated in June 2021 to add the concept of online
engagement to the definition of possible volunteer “Activities.”
April 2022 The volunteer waiver was updated in April 2022 to update the travel insurance provider
contact.
August 2023