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Disclaimer
I hereby agree to hold harmless and release the Continuum of Care; its member organizations, their boards/trustees, employees, volunteers, count organizers; and other participants in the Point-In-Time Count from any liability for any accident, injury or death or any theft or loss of property arising from the participation as a Volunteer in the Point-In-Time Count, regardless of whether incurred as a result of negligence or other. I voluntarily assume these and any other risks in participating in the count and waive all claims and causes of action that may arise out of participation in the count. I have agreed to serve as a volunteer for the Point-In-Time Count. I understand that as a volunteer for the Point-In-Time Count it will be necessary for me to handle and process confidential information. I acknowledge that I will keep all information confidential while a volunteer and that it is my responsibility to keep this information confidential even after I end my volunteer duties for the Point-InTime Count. I understand that I am not to disclose any identifying confidential information and/or records or to engage in casual or informal conversation identifying any individual involved in the count. I have read and fully comprehend the information pertained in this form and agree to the terms of this release. By checking the “Volunteer Release and Confidentiality Form” box in the Point-In-Time Count online volunteer registration system, I acknowledge that it is my responsibility to comply with all relevant laws, policies, and regulations concerning access, use, maintenance and disclosure of information made available to me as a volunteer in the Point-InTime Count.
I hereby agree to hold harmless and release the Continuum of Care; its member organizations, their boards/trustees, employees, volunteers, count organizers; and other participants in the Point-In-Time Count from any liability for any accident, injury or death or any theft or loss of property arising from the participation as a Volunteer in the Point-In-Time Count, regardless of whether incurred as a result of negligence or other. I voluntarily assume these and any other risks in participating in the count and waive all claims and causes of action that may arise out of participation in the count. I have agreed to serve as a volunteer for the Point-In-Time Count. I understand that as a volunteer for the Point-In-Time Count it will be necessary for me to handle and process confidential information. I acknowledge that I will keep all information confidential while a volunteer and that it is my responsibility to keep this information confidential even after I end my volunteer duties for the Point-InTime Count. I understand that I am not to disclose any identifying confidential information and/or records or to engage in casual or informal conversation identifying any individual involved in the count. I have read and fully comprehend the information pertained in this form and agree to the terms of this release. By checking the “Volunteer Release and Confidentiality Form” box in the Point-In-Time Count online volunteer registration system, I acknowledge that it is my responsibility to comply with all relevant laws, policies, and regulations concerning access, use, maintenance and disclosure of information made available to me as a volunteer in the Point-InTime Count.
Check here to show you accept the terms stated above for yourself or for a minor volunteer for which you are a parental guardian.
