Chesapeake Bay Retriever Relief & Rescue

Hold Harmless Agreement - eSignature


Chesapeake Bay Retriever Relief & Rescue

http://www.cbrrescue.org/

Hold Harmless Agreement

I, fully understand and agree to assume all risks involved in any and all duties that I perform in my capacity as a volunteer with Chesapeake Bay Retriever Relief and Rescue, Inc. and I agree to hold Chesapeake Bay Retriever Relief and Rescue, Inc. harmless for any injury(ies) which I might sustain during the course of my volunteer duties. This waiver does include myself, all of my family members and descendants forever from seeking any legal action whatsoever against Chesapeake Bay Retriever Relief and Rescue, Inc. or its representatives.

In consideration of being permitted to volunteer for Chesapeake Bay Retriever Relief and Rescue, Inc. (also known as CBRR&R) from Texas, each of the undersigned, for himself/herself, his personal representative, heirs, next of kin, invitees, and/or guests:

  1. I understand that because I may handle and / or come in contact with animals, it is important to discuss being vaccinated against tetanus with my physician and / or keeping my tetanus vaccination status current. I release CBRR&R from all responsibility that may occur because of my not pursuing this matter further and I understand whatever decision I make concerning the status of my tetanus vaccinations is at my own risk. I have read, understand and agree to the above tetanus information.
  2. I acknowledge and understand that as a volunteer of CBRR&R, I am not covered by workers’ compensation or any other liability insurance policy through CBRR&R for any damages or injuries I may sustain during volunteer activities. I understand that I am responsible for obtaining health insurance coverage through an independent health insurance company.
  3.  I fully understand that as a part of my volunteer work for CBRR&R, I assume the many risks associated with being around animals, including but not limited to the risks of being bitten, scratched, jumped on, knocked over, chased, tripped, infected with a disease, or otherwise injured or frightened, as well as the risks of damage to personal property and that Chesapeake Bay Retriever Relief and Rescue, Inc. cannot guarantee me or anyone else what type of temperament the animal(s) I will come in contact with through volunteering with the organization may have, and that I am not an agent of  Chesapeake Bay Retriever Relief and Rescue, Inc., and that I hereby accept responsibility for the animal(s) in my care and/or responsibility as a volunteer.
  4. I fully understand that as a volunteer and / or foster home for CBRR&R, my family may come into contact with animals at CBRR&R events, and I and my family and / or guests may come into contact with animals in my home if I am fostering an animal. I understand that working with animals carries a risk of injury, and it is possible that my family and / or guests may be bitten, scratched and / or otherwise injured.
  5. Hereby this Hold Harmless, waives, discharges, and covenants not to sue Chesapeake Bay Retriever Relief and Rescue, Inc., its employees, agents, members, directors, officers, or any affiliated entities thereof, from all liability to the undersigned, his personal representative, assigns, heirs, next of kin, guests, and/or invitees for any and all loss or damage, and any claim or demands therefore on account of injury to the person or property or resulting in death of the undersigned or anyone else arising out of or related to volunteering for Chesapeake Bay Retriever Relief and Rescue, Inc.
  6. Hereby agrees to indemnify and save and hold harmless Chesapeake Bay Retriever Relief and Rescue, Inc., its employees, agents, members, directors, officers, or any affiliated entities thereof, from any loss, liability, damage, or cost including bodily injury or property damage arising out of or related to the care or fostering of an animal from Chesapeake Bay Retriever Relief & Rescue, Inc.
  7. Hereby assumes full responsibility for any risk of bodily injury, death or property damage arising out of or related to volunteering for Chesapeake Bay Retriever Relief and Rescue, Inc.
  8. Hereby agrees that this Hold Harmless extends to all acts of Chesapeake Bay Retriever Relief and Rescue, Inc., its employees, agents, members, directors, officers, or any affiliated entities thereof, and is intended to be as broad and inclusive as is permitted by the laws of New York and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. 

I have read this agreement, Hold Harmless. I fully understand its terms, understand that I have given up substantial rights by signing it, and I have signed it freely and voluntarily without any inducement, assurance, or guarantee being made to me and intend my signature to be a complete and unconditional Hold Harmless of all liability to the greatest extent allowed by law.

Dated:  

Full Name:  

Email:   

Address:

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Purpose:

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CBR Rep: ,  

 

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Signature Certificate
Document name: Hold Harmless Agreement - eSignature
lock iconUnique Document ID: 2f95178f3daf77219b831792c5125812eba36b00
Timestamp Audit
February 8, 2020 6:28 pm ESTHold Harmless Agreement - eSignature Uploaded by CBR Admin - [email protected] IP 50.35.12.98
May 6, 2020 11:34 am ESTeSig Group - [email protected] added by CBR Admin - [email protected] as a CC'd Recipient Ip: 104.140.53.115
May 6, 2020 4:31 pm ESTeSig Group - [email protected] added by CBR Admin - [email protected] as a CC'd Recipient Ip: 104.140.53.115
May 6, 2020 6:40 pm ESTeSig Group - [email protected] added by CBR Admin - [email protected] as a CC'd Recipient Ip: 104.140.53.115
May 10, 2023 5:50 pm ESTeSig Group - [email protected] added by CBR Admin - [email protected] as a CC'd Recipient Ip: 50.35.12.98
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