Question Title

* 1. Please provide the following information

Question Title

* 2. Why do you want to volunteer at ELEVATE?

Question Title

* 3. Please choose your preferred volunteer role

Question Title

* 4. I am available...

Question Title

* 5. Volunteer Release and Waiver of Liability 

This Release and Waiver of Liability (the “release”) releases ELEVATE: Cochrane’s Wellness Weekend,  (ELEVATE) and director, Marni Richelle McConnach.

The Volunteer desires to provide volunteer services for ELEVATE and engage in activities related to serving as a volunteer. Volunteer understands that the scope of Volunteer’s relationship with ELEVATE is limited to a volunteer position and that no compensation is expected in return for services provided by Volunteer; that ELEVATE will not provide any 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 Volunteer’s services to ELEVATE.

1. Waiver and Release: I, the Volunteer, release and forever discharge and hold harmless ELEVATE, Marni Richelle McConnach and its successors and assigns from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the services I provide to ELEVATE. I understand and acknowledge that this Release discharges ELEVATE from any liability or claim that I may have against ELEVATE with respect to bodily injury, personal injury, illness, death, or property damage that may result from the services I provide to ELEVATE or occurring while I am providing volunteer services.

2. Insurance: Further I understand that ELEVATE 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. I expressly waive any such claim for compensation or liability on the part of ELEVATE beyond what may be offered freely by ELEVATE in the event of injury or medical expenses incurred by me.

3. Medical Treatment: I hereby Release and forever discharge ELEVATE 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 ELEVATE.

4. Assumption of Risk: As a volunteer, I hereby expressly assume risk of injury or harm from any activities that happen to me while volunteering for ELEVATE and release ELEVATE from all liability.

5. Photographic Release: I grant and convey to ELEVATE all right, title, and interests in any and all photographs, images, video, or audio recordings of me or my likeness or voice made by ELEVATE in connection with my providing volunteer services to ELEVATE.

By writing my name and the date below, I express my understanding and intent to enter into this Release and Waiver of Liability willingly and voluntarily.

Please write your full name and today's date in the comment box below

Question Title

* 6. If you have any questions please feel free to contact Marni at

Are you excited for ELEVATE 2019?

0 of 6 answered