Your email address:

I am voluntarily participating in a community service activity with SOAR365. I hereby acknowledge the hazards involved with this service activity and assume the risk of any injury which might occur as a result of my participation. I release and hold harmless SOAR365, its officers, employees, and others working on this service activity from any and all liability which might result from my engagement in this activity. Additionally, as a volunteer, I understand I am not subject to protection under Virginia’s Workers Compensation Statutes.

As a volunteer serving SOAR365, I understand that all information concerning the identity and/or treatment of SOAR365 program participants (whether written, spoken, overheard, etc.) must be kept strictly confidential. I will not discuss information with any outside persons, nor will I discuss, replicate, or distribute any confidential information gained through my service with the organization without prior explicit written permission from the appropriate SOAR365 staff. I also understand that I may not take photos, videos, or recordings of any program participants or post any confidential information on social media without prior explicit written permission from the appropriate SOAR365 staff. As a mandated reporter, I understand my obligation to immediately report any suspicion of harm in the form of abuse, neglect, or exploitation to the appropriate SOAR365 staff. I understand that any violation of these terms could result in the termination of my service relationship with SOAR365.

I give SOAR365 permission to use my and/or my child’s name, voice, biography, or any likeness (“Likeness”) in any pictures, photos, video recordings, print, digital, electronic, radio, television, Internet, and any other medium, whether now known or hereafter devised.

SOAR365 shall have the perpetual right, but not the obligation, to use my and/or my child’s Likeness for all purposes of SOAR365, including without limitation, raising awareness for the services SOAR365 provides, marketing, publicity, social media, newsletters, promotional materials, advertisements, educational, archival, any other lawful purpose, or any purpose consistent with SOAR365’s mission (the “Purpose”).

I hereby waive any right that I may have to inspect or approve the materials in which my and/or my child’s Likeness may appear (“Materials”), and I waive any right to royalties or other compensation arising from or related to the use of my and/or my child’s Likeness. I understand and agree that all right, title and interest in any Materials shall be owned exclusively by SOAR365 and I shall have no right to use such Materials without SOAR365’s written permission.

I release and agree to hold harmless SOAR365, its officers, employees, and/or agents from and against any liability or claims, including without limitation claims of libel, slander, defamation, invasion or intrusion of rights of privacy or publicity, infringement of rights of personality, false light, or public disclosure of private facts, or any similar matter, based upon or relating to the use of my and/or my child’s Likeness.

I have read and understood this consent and release. I certify that I am at least 18 years of age, that I am authorized to grant this release, and that this release is signed voluntarily.

Check here to show you accept the terms stated above for yourself or for a minor volunteer for which you are a parental guardian.
Enter your name here to serve as a digital signature: