Grace Reigns

I authorize the director or designee of Justice For All to make any medical or other emergency decision if the above emergency contact cannot be reached

I have adequate insurance coverage for incidentals with my volunteer activities

I give my consent to JFA and its affiliates to use my photograph, video recording, and/or voice recording taken or recorded during the Service & Learning trip for any lawful purposes including, but not limited to, promotional materials, websites, social media, and news media.
I understand and agree that these images and/or recordings may be edited, duplicated, distributed, reproduced, or used for any legal purpose without compensation or further notification.
I acknowledge that I have read this consent form and fully understand its contents.

• I understand that Justice For All NW Iowa Chapter (JFA) is a Christian organization, committed to demonstrating God’s love through word and deed. I agree to treat each individual I come into contact with, whether fellow volunteer employee, or one of the many individuals JFA strives to help, with dignity and respect.
• I am capable of performing the duties required on this assignment to the best of my knowledge and according to most recent reports from my physician.
• I will hold JFA harmless should I become injured traveling to or from a project site. At times JFA organizes travel plans. I understand that travel plans may change, and these changes may impact my participation in JFA work trip. I do not hold JFA responsible if travel plans change, and I am not able to go on the JFA work trip.
• I acknowledge and understand that there are risks connected to the volunteer activities I will be performing, and that serious injuries or illness occasionally occur to persons performing these services. These risks include but are not connected to physical or mental harm. By electronically agreeing or physically signing, I am agreeing to (i) ASSUME ALL RISKS and (ii) WAIVE AND RELEASE ANY AND ALL CLAIMS, DEMANDS, AND CAUSES OF ACTION, INCLUDING FOR PERSONAL INJURY, ILLNESS, PAIN, SUFFERING, and ECONOMIC DAMAGES against JFA that I have experienced and/or might experience in the future (whether known or unknown, anticipated, unanticipated) as a result of my participation in volunteer activities or services for and on behalf of JFA or its partner agencies and/or affiliates. For purposes of this waiver, Justice for All NW Iowa Chapter shall include JFA, its affiliates and their officers, directors, employees, agents, volunteers, individual clients, and property owners where volunteers are housed, or where work is performed. This waiver applies to me and to any person who could make a claim on my behalf, including without limitation, my heirs, beneficiaries, personal representatives, and next of kin.
• I forfeit all right to bring a suit for damages against JFA for any damages incidental to volunteer activities. In return, I will receive the opportunity to volunteer for JFA. I will also make every effort to obey safety precautions as listed in writing and as explained to me verbally. I will ask for clarification when needed.
• I agree to hold JFA harmless from any and all liability, including financial responsibility for injuries incurred, regardless of whether injures are caused by negligence, excluding any gross negligence or misconduct.