Make a Difference in the Fight Against Breast Cancer

Waiver and Release

Permission – Use of Photos/Video: I hereby give permission to use, and/or publish individual and group photographs, films and videos of me or my child through any medium for promotional or other uses furthering the mission of Crossroads4Hope, including use on the Sister2Sister website.

Volunteer Confidentiality:

• Purpose: The Sister2Sister Volunteer Confidentiality Policy defines and describes the management of confidential information for individuals volunteering at Sister2Sister.

• Philosophy: We believe that donor information, as well as member information, is confidential. We believe that every safeguard should be taken to ensure that both the donor and the member information is kept confidential. This includes all communications

  (written and verbal), observations, and information about or between members, staff, volunteers, visitors, and board members of Sister2Sister. We do not sell the mailing list or provide mailing lists directly to any corporate partners or other nonprofit organizations.

• Responsibilities and Guidelines: All volunteers shall keep confidential and shall not, without the express written consent of Sister2Sister's President & CEO, Executive Director, or Board of Executive Committee, disclose to any person or organization any information regarding donations received by Sister2Sister or any Sister2Sister financial business information. All volunteers shall keep confidential and shall not disclose to any person or organization any identifying information regarding members in Sister2Sister programs.

  • Procedure: All volunteers shall sign a copy of this policy. It will be maintained on file by Sister2Sister.

Volunteer Agreement: In signing this liability waiver, I certify that I am a willing participant in the Sister2Sister volunteer program. I agree to work according to instructions I receive. I agree to behave in a responsible manner. I agree to perform only work that I feel comfortable in doing and that I feel I can accomplish safely. I agree I am wearing clothes and shoes that I believe will provide protection according to work conditions.

I understand that if I have provided false or misleading information, I acknowledge that Sister2Sister may terminate any volunteer assignment immediately. I also understand that by submitting this application, I am authorizing those persons named as references to provide information related to my capabilities/skills, character traits or other personally identifiable information for the purpose of assisting me in obtaining a volunteer position.

Acknowledgment and Assumption of Risk: I, the undersigned, understand that volunteerism at Sister2Sister may involve physical labor, such as lifting and working with tools, and handling food products. I hereby release, discharge, waive and relinquish all claims, liabilities, and damages I may sustain from bodily injury, personal injury or property damage and hold harmless Sister2Sister, its officers, directors, employees, and agents.

Consent: I have read this form and fully understand that by signing this form, I am giving up legal rights and/or remedies, which may otherwise be available to me regarding any losses I may sustain as a result of my participation.

By submitting this form, I acknowledge having read and understood the above.

Parental Consent (required of all volunteers 17 years of age or younger): I, the undersigned, as the parent or guardian of the child/children named here in, do hereby agree to the above consent, waiver, and release of liability agreement above and allow my child/children to participate as a volunteer for Sister2Sister.