In order to be able to resume this form later, please enter your email and choose a password.
Please initial one of the two boxes below and sign and complete all information at bottom of form.
1. I hereby accept the invitation of Big Brothers Big Sisters of Orange County/Inland Empire (“BBBSOC/IE”) to appear and be identified in print or online in any BBBSOC/IE publication or production. I hereby grant BBBBSOC/IE and its affiliates the absolute right and permission to use my image, name, and biographical information as BBBBSOC/IE may desire, in all media and in all forms whatsoever, including, but not limited to: magazines, brochures, press releases, print publications; motion pictures, television, cablecast and satellite broadcasts; and the internet and mobile applications. Examples include, but are not limited to, the Orange County Register and other print news media, televised news media, promotional print media, and the BBBSOC/IE website and social media channels. In consideration of $0 to be paid to me, I hereby grant to BBBSOC/IE and its affiliates the absolute right to use images made through BBBSOC/IE studios or elsewhere, in whole or in part, in true or distorted character or form, alone or in conjunction with any other image, name or reproduction, in color or otherwise, for art, advertising, promotion, business, trade, or any other lawful purpose whatsoever, in perpetuum. I hereby waive any right that I may have to inspect and/or approve of the finished product or the copy that may be used in connection therewith, wherein my likeness appears, or the use to which it may be applied. I hereby release BBBSOC/IE and its affiliates from all claims, demands or liabilities and related financial costs that I may now or hereafter have arising in connection with BBBSOC/IE ’s exercise of the right hereby granted. These include, without limitation, claims for compensation, claims for copyright or trademark infringement, infringement of moral rights, libel, defamation, invasion of any rights of privacy (including intrusion, false light, public disclosure of private facts, and misappropriation of name or likeness), violation of rights of publicity, physical or emotional injury or distress, or any similar claim or cause of action in tort, contract, or any other legal theory. BY INITIALING THIS OPTION AND SIGNING BELOW, I ACKNOWLEDGE THAT I HAVE READ AND I FULLY UNDERSTAND ALL OF THE TERMS OF THIS AGREEMENT AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS.
Please initial one of the two boxes below and complete form with your signature and date.
1. I agree to share contact information and communicate virtually and/or electronically with my Little or mentee. Prior to contacting my Little or mentee virtually and/or electronically, I will communicate with my Little or mentee’s parents and/or guardians and with BBBSOC/IE to determine which communication methods or platforms are approved. Such methods or platforms may include, without limitation; telephone, text message, email; video conferencing programs such as Zoom, CommandLink, Google Classroom, and Facetime; and social media platforms such as Instagram, Facebook, Twitter, and TikTok. I may decline to be contacted by certain methods or on certain platforms while agreeing to be contacted by other methods or on other platforms. I agree to not post any photographs or videos of my Little or mentee, or to share any information about my Little or Mentee, on any social networking, media or other online websites.
The BIG BROTHERS BIG SISTERS OF ORANGE COUNTY AND THE INLAND EMPIRE applicant information and release form must be signed with no additions, deletions, or changes for the participant to take part in Sports Buddies activities. We want to make sure you understand the risks associated with participation in varying strenuous activities and have carefully considered whether you want to participate
RELEASE FORM: The program that you have signed up for involves physically and emotionally demanding activities. It includes climbing, jumping and other rigorous activities in low, medium or high distance from the ground. It is possible that you may be injured while participating in the program either because of your own conduct, conduct of others in the group, conduct of the Sports Buddies program, or the conditions of the premises. We want to make sure that you understand the risks of injury before you decide to participate in the program. It is required that you read the following very carefully, make sure you understand it and sign it before you begin participating in the program.
I AM FULLY AWARE THAT I AM CHOOSING TO PARTICIPATE IN RIGOROUS PHYSICAL ACTIVITIES. I AM ALSO AWARE THAT THERE ARE RISKS OF PHYSICAL INJURIES OR HARM FROM PARTICIPATING IN THE SPORTS BUDDIES PROGRAM. I VOLUNTARILY ELECT TO PARTICIPATE IN THE PROGRAM AND TO ASSUME THE RISKS OF INJURIES OR HARM THAT INCLUDE RESULTS FROM PARTICIPATION. ON MY OWN BEHALF, AND ON BEHALF OF MY PERSONAL REPRESENTATIVES AND HEIRS, I HEREBY RELEASE THE BIG BROTHERS BIG SISTERS OF ORANGE COUNTY AND THE INLAND EMPIRE, INCLUDING ITS OFFICERS, EMPLOYEES, CONSULTANTS, AGENTS, AND DIRECTORS FROM ALL LIABILITY FOR ANY INJURIES OR HARM TO ME FROM PARTICIPATING IN SPORTS BUDDIES PROGRAM ACTIVITIES, WHETHER THE INJURY OR HARM IS CAUSED BY THE NEGLIGENCE OF THE SPORTS BUDDIES PROGRAM, OR OTHERWISE. I HAVE READ AND UNDERSTAND THIS RELEASE OF LIABILITY. I VOLUNTARILY SIGN IT AND I HEREBY GIVE PERMISSION ADMINISTER BASIC FIRST AID OR TO SEEK APPROPRIATE MEDICAL ASSISTANCE FOR THE PARTICIPANT LISTED ABOVE.
I understand that by signing this agreement, I am waiving any and all claims, of any kind arising out of or attributable to my participation as a volunteer in the Program, including those claims that may be unknown to me, or which I do not suspect to exist at this time. WITH THE INTENTION OF WAIVING ALL UNKNOWN AND UNSUSPECTED CLAIMS, I HEREBY EXPRESSLY WAIVE ALL RIGHTS, BENEFITS, AND PROTECTIONS I MAY HAVE UNDER CALIFORNIA CIVIL CODE SECTION 1542, WHICH READS AS FOLLOWS:
“A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS THAT THE CREDITOR OR RELEASING PARTY DOES NOT KNOW OR SUSPECT TO EXIST IN HIS OR HER FAVOR AT THE TIME OF EXECUTING THE RELEASE AND THAT, IF KNOWN BY HIM OR HER, WOULD HAVE MATERIALLY AFFECTED HIS OR HER SETTLEMENT WITH THE DEBTOR OR RELEASED PARTY.”
I shall defend, indemnify, and hold harmless BBBSOC/IE and all other Releasees against any and all losses, damages, liabilities, deficiencies, claims, actions, judgments, settlements, interest, awards, penalties, fines, costs, or expenses of whatever kind, including reasonable attorneys’ fees, fees and the costs of enforcing any right to indemnification under this agreement, and the cost of pursuing any insurance providers arising out of or resulting from any claim of a third party related to my participation as a volunteer in the Program, including any claims arising out of my own negligence or the ordinary negligence of BBBSOC/IE.
THIS AGREEMENT PROVIDES BBBSOC/IE WITH MY ABSOLUTE AND UNCONDITIONAL CONSENT, WAIVER, AND RELEASE OF LIABILITY ARISING OUT OF MY PARTICIPATION AS A VOLUNTEER IN THE BBBSOC/IE PROGRAM. BY SIGNING BELOW, I ACKNOWLEDGE THAT I HAVE READ AND I FULLY UNDERSTAND ALL OF THE TERMS OF THIS AGREEMENT AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE BBBSOC/IE FOR ANY CLAIMS, WHETHER KNOWN OR UNKNOWN, ARISING OUT OF MY PARTICIPATION AS A VOLUNTEER IN THE PROGRAM.