Volunteer Release And Waiver

I agree that when volunteering for HeadCount I will conduct myself in a strictly non-partisan and non-discriminatory manner, providing voter registration assistance to all eligible applicants regardless of their political affiliation or personal beliefs, and without regard to race, religion or ethnicity. I will not make any statements or wear any clothing or display any personal items that could be construed as partisan or supporting a particular candidate or political party.

I further agree to abide by and uphold all federal and state voter registration laws.

I acknowledge that if I engage in any activity that violates HeadCount’s policy of non-partisanship or violates any Federal, state or local voter registration or election laws, I will be terminated and not allowed to volunteer for HeadCount again under any circumstances.

I understand that in the course of registering voters and collecting completed voter registration applications, I will at times have access to registrants’ personal or other information. I acknowledge that I cannot collect or use registrants’ information or any kind and that doing so may result in immediate termination from Head Count’s (D.B.A. HeadCount) volunteer program and other remedial measures to the extent HeadCount deems necessary.

I am aware of HeadCount’s drinking and drug use policy. I understand that when volunteering for HeadCount I cannot drink alcohol or take illegal drugs or appear to be under the influence of alcohol or illegal drugs. While volunteering for HeadCount I will not condone or encourage illegal drug use in any way. I understand that this is a zero tolerance policy and if I violate this policy I will be unable to volunteer for HeadCount again.

I assume any and all risk of harm that may arise out of my participation in any and all activities relating to volunteering with HeadCount. I hereby release HeadCount from any and all liability which may arise in connection with volunteering for HeadCount or while attending an event as a HeadCount volunteer, including but not limited to potential claims, demands and causes of action for compensatory or punitive damages, attorney’s fees, costs, or any other legal or equitable relief of any kind, for injuries and damages, and the consequences thereof, whether known or unknown, foreseen or unforeseen. I further agree to indemnify and hold HeadCount and its agents, representatives and employees, harmless from any such claim, demand cause of action or any other legal or equitable action arising out of or relating to my participation in HeadCount’s volunteer program. The validity, interpretation and performance of this Release and Waiver shall be controlled by and construed under New York State law. All parties to this Release and Waiver irrevocably submit to exclusive jurisdiction of any state or federal court located in the County of New York, with respect to each judicial action, suit or proceeding brought concerning any matter under or arising out of or in connection with the Release and Waiver. I declare that I have completely read the terms of this Release and Waiver and that I understand and voluntarily accept them.