616.234.5000

PURPLE COMMUNITY

VOLUNTEER REGISTRATION

Thank you for your interest in volunteering for Purple Community! Please fill out the form below and we will be in touch with you soon.

Van Andel Institute

Purple Community

Liability Waiver and Release

If the volunteer you are registering is under 18 years of age, you attest that you are the legal parent/guardian of the person you are about to register. Additionally, if the child is under the age of 13, you are consenting to the collection and use of information about the child for the purpose of the registration.

The Van Andel Institute (“VAI”) is a charitable trust dedicated to improving the health and enhancing the lives of current and future generations through biomedical research and science education.  Purple Community is VAI’s grassroots community awareness and fundraising program.  I intend to assist VAI as a volunteer at Purple Community events. Volunteer activities may include, but are not limited to, the set-up, operation of, participation in, and take-down of Purple Community events. In consideration of participating as a volunteer and in recognition of the non-profit status of VAI, I hereby agree as follows:

I am 18 years of age or older. If I am under the age of 18, I have permission and signature of a parent/guardian.

I hereby release VAI from, and waive on behalf of myself and my heirs and any minors indicated below, any and all causes of action, claims, demands, damages, costs, expenses, and compensation for damage or loss to myself and/or property that may be caused by any act or failure to act of VAI, or that may otherwise arise in any way in connection with any voluntary activities with or for VAI.  This Liability Waiver and Release extends to VAI together with all of its staff, officers, directors, trustees, affiliates and agents.

I assume the risk of any and all dangerous conditions in and about VAI facilities or in connection with any off-site voluntary activities.  I hereby authorize VAI to take photographs, recordings, and/or videos (whether electronic, digital, or otherwise) of me and consent to the use, reproduction, and publication of such images by VAI and/or Purple Community in connection with the promotion and publicity of its activities, including, without limitation, publication of such images on VAI and/or Purple Community’s website.  I hereby waive any right to inspect or approve the actual use by VAI and/or Purple Community of any such image.  Such images, recordings, and/or videos shall be the sole property of VAI and I acknowledge and agree that I am not entitled to any compensation whatsoever should any such images, recordings, and/or videos be uses by VAI and/or Purple Community. 

IT IS MY LEGALLY BINDING AGREEMENT BY THIS LIABILITY WAIVER AND RELEASE TO EXEMPT VAN ANDEL INSTITUTE AND ALL STAFF, OFFICERS, DIRECTORS, TRUSTEES, AFFILIATES AND AGENTS FROM ALL LIABILITY WHATSOEVER FOR PERSONAL INJURY, PROPERTY DAMAGE AND WRONGFUL DEATH, AND TO INDEMNIFY VAI AGAINST ANY CLAIMS FOR THE FOREGOING.

This waiver contains the entire agreement between myself and the parties released and their affiliates.

I would like to receive the following updates: