PHYSICAL THERAPY DAY OF SERVICE
Volunteer Release and Waiver of Liability Agreement
This Release and Waiver of Liability thus releases Physical Therapy Day of Service (“PT Day of Service”) and each
of its directors, organizers, officers and agents. The volunteer agrees to only perform services and engage in activities
related to providing the necessary care to any and all recipients and patients on any day in which services are
administered as it relates to the initiative.
Volunteer understands that the scope of Volunteer’s relationship with PT Day of Service, is limited to a volunteer
position and that no said compensation is expected in return for services rendered and provided by the volunteer; that
PT Day of Service will not provide by benefits traditionally associated with employment to Volunteer; and that
Volunteer is responsible for his/her own insurance coverage in the event of personal injury or illness as a result of
Volunteers services to the Service Initiative.
1. Waiver and Release: I, the Volunteer, release and forever discharge and hold harmless PT Day of Service and its
successors and assigns from all any all liability, claims and demands of whatever kind or nature, either in law or
equity, which arise or may hereafter arise from the services I provide to PT Day of Service. I understand and
acknowledge that this Release discharges PT Day of Service from any liability or claim that I may have against PT
Day of Service with respect to bodily injury, personal injury, illness, death, or property damage that may result from
the services I provide to the recipients of PT Day of Service or occurring while am providing volunteer services.
2. Insurance: Further, I understand that PT Day of Service does not assume any responsibility, for or obligation to
provide me with financial or other assistance, including but not limited: to medical, health or disability benefits or
insurance of any nature in the event of my injury, illness, death or damage to my property. I expressly and knowingly
waive any such claim for compensation or liability on the part of PT Day of Service, in the event of such injury or
medical expenses incurred by me.
3. Medical Treatment: I hereby Release and forever discharge PT Day of Service from any claim whatsoever which
arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection
with an emergency during my tenure as a volunteer with PT Day of Service.
4. Assumption of Risk: I understand that the services I provide to PT Day of Service may include activities that may
be hazardous to me including, but not limited to those relating to providing certain medical and professional care to
volunteer patrons. Thus, as a volunteer, I hereby expressly assume the risk of injury or harm from these activities and
Release PT Day of Service from all liability for injury, illness, death or property damage resulting from the services I
provide as a volunteer or occurring while I am providing volunteer services.
5. Photographic Release: I grant and convey to PT Day of Service all right, title, and interests in any and all
photographs, images, videos, or audio recordings of me or my likeness or voice made by PT Day of Service in
connection with my providing services to PT Day of Service. Any claims are appropriation are thus waived and the
PT Day of Service and its members may use any said photographs and recordings on their website or social media