Health Division

Volunteer Hold Harmless Agreement

In consideration of being a volunteer for the Johnson County WIC Community Garden, I do hereby assume the risk of injury and all medical expense incurred from any injury resulting from my volunteer participation.  I understand, acknowledge and agree I am not covered by Workers’ Compensation insurance or benefits provided thereunder and I do hereby release, discharge and hold harmless Johnson County, its agents, representatives and employees, from any and all claims whatsoever, known or unknown, for damages or injuries to myself and children under age 18.

Release To Use Photographs, Video, Name and other Reproductions

I hereby grant to the Johnson County, Kansas Government and its related agencies and departments (hereinafter referred to as “Johnson County”), and its employees, legal representatives and assigns in the performance of their duties for Johnson County, the absolute right and permission to use or copyright, in its own name or otherwise, and re-use, publish, and re-publish photographic pictures, video, electronic images or other reproductions of me or in which I may be included, in whole or in part, or composite or distorted in character or form, without restriction as to changes or alterations, in conjunction with or without my own name or a fictitious name, or reproductions thereof in color or otherwise, made through any medium, and in any and all media now or hereafter known for illustration, promotion, art, advertising, trade, including film, photographic, video, electronic or digital formats or reproductions, or any other purpose of any kind. I also consent to the use of any printed or electronic matter in conjunction therewith. The uses and rights granted herein are donated to Johnson County freely and without financial consideration as a public service.

I hereby waive any right that I may have to inspect or approve the finished product or products and the advertising copy or other matter that may be used in connection therewith or the use to which it may be applied.

I hereby release, discharge and agree to save harmless Johnson County, its employees, departments, legal representatives and assigns, and all persons acting under this Release, from any liability for such use, including by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in such use or in any subsequent processing thereof, as well as any publication thereof, including without limitation any claims for libel or invasion of privacy.

I hereby warrant that I am of legal age and have the right to contract in my own name or I am the parent or legal guardian of the subject for whom this Release is granted. I have read the above Release, prior to its execution, and I am fully familiar with and understand the contents thereof. This Release shall be binding upon me and my heirs, legal representatives, and assigns.

THIS RELEASE AFFECTS YOUR LEGAL RIGHTS.  IF NOT UNDERSTOOD, PLEASE CONSULT YOUR OWN LEGAL COUNSEL.