Boys 2 Mend Volunteer Information Name* First Last Email* Enter Email Confirm Email Phone*Volunteer Category*TPH DeaconBoyz 2 Mend MentorParentPlease choose the option that best describes your volunteer category. THE POTTER’S HOUSE OF DALLAS IN PERSON ACTIVITY: WAIVER OF LIABILITY FORM* I agree to the Waiver of Liability I have been cleared to be a volunteer on the date of 11/13/2021 for the Boyz 2 MEND Fishing Trip with The Potters House of Dallas, Inc. (“Event”). I acknowledge and consent to the activities associated with the Event which will be located at the Cedar Hill State Park and could include videotaping, photography, and transportation to the location. I understand and acknowledge that this event is a ministry related function, therefore the volunteer must always conduct him/herself in a respectful manner to others and officials of this activity. I also agree to follow the rules and regulations mandated by government officials pertaining to social distancing and adhere to the guidelines administered by CDC and WHO. In consideration for being permitted to volunteer and/or participate in the Event, I hereby release, hold harmless, and indemnify The Potter’s House of Dallas, Inc. and T. D. Jakes Ministries, and its officers, directors, employees, and agents from any claim, demand, action, or right of action, in law or in equity, foreseeable or unforeseeable, arising from any injury to me, any of my family members, or any other cause which may occur as a result of my or any of my family member’s participation in the above Event. I personally assume full responsibility for the risks of bodily injury, death, or property damage arising from participation in the above event. Further, I state that (a) I am of legal age and legally competent to sign this agreement and release; (b) I understand that terms in this agreement and release are contractual and not merely recital; (c) I have fully informed myself of this agreement and release by reading it before I signed it. DO NOT SIGN THIS RELEASE IF YOU DO NOT UNDERSTAND OR AGREE WITH ITS TERMS. IF UNDER 18 YEARS OF AGE, SIGNATURE OF PARENT OR GUARDIAN IS REQUIRED. Signature*By signing this form I agree that I fully understand and agree with its terms.