Date : ____________  

Location : _________________________ 

Start Time: _________     End Time: ________  

 

In connection with my voluntary involvement in activities undertaken with *organisation name*_____________ and *company name* __________________ I declare that I am fit to volunteer, that I have read and understood the risk assessment and that I consent to my image being used for the purposes stated in the Photo Release.  I hereby attest that my attendance and involvement is voluntary, that I am participating at my own risk, and that I have read the foregoing terms and conditions of this release.  

NAMESIGNATUREFITRISKMEDIA
Please print clearly   Please mark to consent Please mark to consent    Please mark to consent   

Sign up for our quarterly newsletter and stay up to date with all things volunteering.