CERENE Volunteer Sign-Up
Center for Resilient Neighborhoods Volunteer Sign Up
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Name *
Email *
Phone *
Frequency of volunteer support *
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Volunteer Event 
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How did you find us? or Who referred you?
Volunteer /Service-Learning Waiver
*
I understand that there are risks involved with my participation in this volunteer / service-learning project and its activities during this semester, including the risk of PROPERTY DAMAGE, PERSONAL INJURY or DEATH.I understand that the State of Hawai‘i, University of Hawai‘i, Kapi‘olani Community College, and their officers, agents, employees or representatives do not provide liability insurance or otherwise indemnify me or anyone else who may participate in this project, for any injuries or any other liability arising from my volunteer service. Therefore, in consideration of my participation, I assume all risks and responsibilities surrounding this project. I release, agree to defend, hold harmless, and indemnify the State of Hawai‘i, University of Hawai'i, Kapi‘olani Community College, and their officers, agents, employees or representatives from and against all liabilities, claims, demands or causes of actions, including claims for property damage, personal injury, or death CAUSED BY THE PASSIVE OR ACTIVE NEGLIGENCE OF MYSELF AND/ORTHE STATE OF HAWAI‘I, UNIVERSITY OF HAWAI‘I, KAPI‘OLANI COMMUNITY COLLEGE, OR ITSOFFICERS, AGENTS, EMPLOYEES OR REPRESENTATIVES, for any hidden, latent or obvious defecting equipment, or caused by any other activities of mine, or anyone else who may be a volunteer participant, during this service project.
Required
Photo & Video Release
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I understand that my classroom work and photo/video likeness may be selected for use in reporting, program materials and outreach. In this event, I will make no monetary or other claim against the State of Hawai‘i, University of Hawai‘i, Kapi‘olani Community College, and their officers, agents, employees or representatives for such use. I hereby give my permission for the release of my work and likeness for program use. I do agree to and will uphold the terms of this agreement.
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