VOLUNTEER RELEASE AND WAIVER OF LIABILITY

Acknowledgment of Risk

Volunteers Age 18 & Over

□ I understand that volunteering at Kentucky State University (KSU) may involve certain risks, including but not limited to physical injury, property damage, or other hazards associated with volunteer activities. I freely and voluntarily assume all such risks.

Release of Liability

□ In consideration of being permitted to volunteer at KSU, I, on behalf of myself, my heirs, executors, and assigns, hereby release, waive, and discharge Kentucky State University, its trustees, officers, employees, and agents from any and all liability, claims, demands, or causes of action that may arise from my participation in volunteer activities, including claims arising from negligence.

Medical Treatment Authorization

In the event of an emergency, I authorize KSU personnel to secure medical treatment for me as deemed necessary. I understand that I am responsible for any medical expenses incurred.

Allergies or Medical Conditions (if any):

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Photography and Media Release

□ I grant Kentucky State University the right to take photographs, video recordings, or other media of me during volunteer activities and to use such media for educational, promotional, or public relations purposes without compensation.

Certification and Signature

I certify that I have read this Release and Waiver, understand its contents, and agree to be bound by its terms.

Volunteer Name (Printed)___

Volunteer Signature: ___ Date: ___

Revised: September 2025