Volunteer Release and Waiver of Liability Form
This Release and Waiver of Liability (Releaseï¿½) is entered into as of the ___ day of _________________, 20___ by
_____________________________ (Volunteer) and Sparrow Health System, a Michigan nonprofit corporation (SHS),
on behalf of itself and its affiliates and subsidiaries (collectively referred to as Sparrow).
WHEREAS: Volunteer desires to provide volunteer services for Sparrow and engage in activities related to serving as a
volunteer (Services), and
WHEREAS: Volunteer understands the duties expected of Volunteer and has read and understands the mission statement
of Sparrow and its best practices procedures. Volunteer pledges to act and perform within these expectations, and
WHEREAS: Volunteer understands that the scope of Volunteer's relationship with Sparrow is limited to a volunteer
position and that no compensation is expected in return for Services provided by Volunteer; that Sparrow will not provide
any benefits traditionally associated with employment to Volunteer; and that Volunteer is responsible for his/her own
insurance coverage in the event of personal injury or illness because of
Volunteer Services to Sparrow, and
WHEREAS: Volunteer understands and agrees to provide Sparrow with a release and waiver of liability as follows:
1. Waiver and Release: Volunteer, releases and forever discharges and holds harmless Sparrow and its directors, officers,
employees, agents, and volunteers, and its successors and assigns, from all liability, claims, and demands of whatever
kind of nature, either in law or in equity, which arise or may hereafter arise from the Services Volunteer provides to
Sparrow. Volunteer understands and acknowledges that Volunteer discharges Sparrow and its directors, officers,
employees, agents, and volunteers, and its successors and assigns, from any liability or claim that Volunteer may have
against Sparrow, with respect to bodily injury, personal injury, illness, death, or property damage that may result from the
Services that Volunteer provides to Sparrow, or which occur while Volunteer is providing such Services.
2. Assistance and Insurance: Volunteer understands that Sparrow does not assume any responsibility for or obligation to
provide Volunteer with financial or other assistance, including but not limited to medical, health, or disability benefits or
insurance. Volunteer expressly waives any such claim for compensation or liability on the part of Sparrow beyond what
may be offered freely by Sparrow in the event of injury or medical expenses incurred by Volunteer.
3. Medical Treatment:Volunteer hereby releases and forever discharges Sparrow and its directors, officers, employees
and agents, and its successors and assigns, from any claim whatsoever which arises or may hereafter arise because any
first-aid treatment or other medical services rendered in connection with an emergency during Volunteers tenure as a
volunteer with Sparrow.
4. Assumption of Risk: Volunteer understands that the Services Volunteer provides to Sparrow may include activities that
may be hazardous to Volunteer. Volunteer hereby expressly assumes risk of injury or harm from these activities and
releases Sparrow and its directors, officers, employees, agents, and volunteers, and its successors and assigns, from all
5. Media Release: Volunteer consents to and allows any use and reproduction by Sparrow of any audio, video and
photographs (in any media format including but not limited to electronic or digital) (Media), taken of Volunteer (or any
family member of Volunteer) during the time Volunteer is providing Services. Volunteer understands that Sparrow will
own the Media and the right to use or reproduce such Media, as well as the right to edit them or prepare derivative works,
for the purposes of promotion, advertising, and public relations. Volunteer hereby consents to Sparrows use of Volunteers
name, likeness or voice, and agrees that such use will not result in any liability to these parties for payment to any person
or organization, including Volunteer.
6. Other: Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of
the State of Michigan and that this Release shall be governed by and interpreted in accordance with the laws of the State
of Michigan. Volunteer agrees that if any clause or provision of this Release is deemed invalid, the enforceability of the
remaining provisions of this Release shall not be affected.
By signing below, Volunteer expresses Volunteers understanding and intent to enter into this Release and Waiver of
Liability willingly and voluntarily.