ReLIT NY Volunteer Release Form:

Participant’s Name: _______________________________

I, ­­­­­­­­________________________________, acknowledge that I am aware of the risks and potential hazards involved with handing out books to the public, including but not limited to carrying boxes of books through the subway system to my designated station and that I have let the coordinators know of any physical restrictions I or my dependent may have in regards to this activity. I understand that ReLIT NY cannot be held responsible for any injury I may incur during this activity and cannot compensate for any medical treatment I or my dependent may need as a result of any activity conducted while volunteering.
I, representing myself and/or the dependent on behalf of whom I act, hereby waive and forever release all claims for damages against ReLIT NY, its board of directors, trustees, officers, employees and other volunteers.

Signature: _____________________________________
(If a minor, parent/guardian signature is required)

Name of Signatory: _________________________________

Date: _________________________________