This event will take place on Saturday, February 16, 2019 from 8 AM – 4 PM at the Boutwell Auditorium, 1930 Rev Abraham Woods, Jr. Blvd.


Project Homeless Connect Volunteer Waiver

Carefully read the following Volunteer Waiver. If you agree to the terms described below, please continue with completing the registration form below. There will be a question within the form to assess if you have read and agreed to the terms within this waiver. 

I, the undersigned, wish to volunteer my services to this community service project through you, Faith Chapel Christian Center, an Alabama nonprofit entity (“Faith Chapel”).  In consideration of your locating, arranging, coordinating and/or making available this volunteer opportunity, I hereby agree and release you as follows:


I acknowledge and agree that the nature of the volunteer services which are typically performed by Faith Chapel volunteers, and which may be performed by me as a Faith Chapel volunteer, and which may be performed by me as a Faith Chapel volunteer, may involve (a) physical activity (including without limitation work with heavy tools and materials), (b) contact with unidentified and unfamiliar persons, (c) travel to and from the event location, and (d) other potential risk of injury.  Notwithstanding the preceding sentence, I willingly and freely agree to volunteer and hereby assume any and all risk, with respect to any liability of Faith Chapel for such risk, including without limitation risk of any accident or injury to person or property which I may sustain in connection with my participation as a Faith Chapel volunteer or in any Faith Chapel related project or activity.

The undersigned hereby releases you and your directors, officers, partners, employees, successors, assigns, licensees, sponsors, donors, volunteers, representatives, guests and affiliates (collectively, the “Faith Chapel Related Parties”) from and covenants not to sue you or any Faith Chapel Related Party for, any and all claims and causes of action, whether known or unknown, arising out of, based upon or relating to my participation as a Faith Chapel volunteer or in any Faith Chapel related activity or project.  I hereby confirm, represent and warrant that I have never been convicted of a violent crime, child abuse or neglect, child pornography, child abduction, kidnapping, rape or sexual offence, nor have I ever been ordered by a court to receive psychiatric or psychological treatment in connection herewith:

I further irrevocably grant to Faith Chapel, its assigns and successors, my consent and full right to use my name, photograph, likeness, image, voice and biography in any and all media, publications, advertising, and publicity, in connection with my participation hereunder.


This release shall inure to your benefit, as well as to the benefit of your successors, licensee, agents, employees, affiliates and assigns.  This release shall be governed by the laws of the State of Alabama.



I understand in the courses of working as a volunteer with Faith Chapel and Project Homeless Connect that I may have access to personal information regarding individuals seeking assistance.

I agree that I shall not disclose to anyone [other volunteers, staff members, family or friends, etc.] any such information without written permission from Faith Chapel and its partnering agencies.

Name *
Contact Phone *
Contact Phone
Please select one option below.
Please type your Organizations name below.
Please answer "Yes" or "No"
Please answer "Yes" or "No."
Date of Birth *
Date of Birth
Please enter your date of birth (mm/dd/yyyy).
Please select "Yes" or "No."
Please select "Yes" or "No" below.
Please select below which shift you would like to work. Note that shifts are assigned on a first come, first serve basis. If you select a shift that is already filled, we will offer you one of the remaining shifts.
Please select "Yes" or "No" to indicate if you do or do not agree with the Volunteer Waiver above. This selection will serve as you signature of agreement.