Construction Site Guidelines. Under 18 requires a signed parental permission form (found on

Transcription

1 Construction Site Guidelines Under 18 requires a signed parental permission form (found on Please contact Eliza ( , ext. 17 or eliza@hfhcc.org) one (1) week before your scheduled workday for any last-minute details. You must fill out a release and waiver form and a volunteer information form (found on and bring to the jobsite on your workday. No open toed sandals or shoes are permitted on the work site. We would like to make sure you leave with all your toes at the end of the day. Volunteers are advised to wear work boots or hard-soled shoes. Other safety issues will be addressed at the site. We will supply nail aprons, safety goggles and other assorted tools. If you bring your own tools, HfHCC is not responsible for lost or damaged personal items but if you leave them we will gladly take them as a donation. Work begins at 8:30 am and ends at 4:00 pm (3:00 pm during the summer). Cleanup of all tools, equipment and materials must be done ½ hour before leaving the work site. We recommend that volunteers bring their own lunches unless on-site luncheons have been previously arranged. Due to construction circumstances, weather conditions and the possibility that there may not be enough work for the entire volunteer crew, Habitat may cancel or reschedule any group with twenty-four (24) hours notice. Unless you are happy moving a pile of dirt from place to place on the jobsite. Be advised to call the Construction Manager for last minute weather cancellations before coming to the work site. Coatesville Site Supervisors: (Jack Monaghan) (Brandon Bonneville) Thank you for supporting the construction of decent, affordable housing in partnership with families in need!

2 Directions to Community Lane, Coatesville From King of Prussia, take Route 202 south to Exton, then follow directions below From West Chester, take Route 100 north to Exton, then follow directions below From Delaware, take Route 202 north to Exton, then follow directions below From Pottstown, take Route 100 south to Exton, then follow directions below Route 30 Bypass west toward Downingtown and Coatesville Exit at Route 82 Take Route 82 south to Coatesville Cross Business Route 30 where the road becomes South 1 st Avenue Drive south on 1 st Avenue about ½ mile, and turn left onto Oak Street Turn right onto Woodland Avenue Right onto Community Lane *If using a gps or Google maps please use 310 Broadview Court (the former name of Community Lane)

3 Release and Waiver of Liability PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS! This Release and Waiver of Liability (the Release ) executed on this day of, 2011, by (the Volunteer ) in favor of Habitat for Humanity International, Inc., a nonprofit corporation, and Habitat for Humanity of Chester County, Inc., a Pennsylvania nonprofit corporation, their directors, officers, employees, and agents (collectively, habitat ). The Volunteer desires to work as a volunteer for Habitat and engage in the activities related to being a volunteer (the "Activities"). The Volunteer understands that the Activities may include constructing and rehabilitating residential buildings, working in the Habitat offices, and living in housing provided for volunteers of Habitat. The Volunteer hereby freely, voluntarily, and without duress executes this Release under the following terms: Release and Waiver. Volunteer does hereby release and forever discharge and hold harmless Habitat and its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from Volunteer s Activities with Habitat. Volunteer understands that this Release discharges Habitat from any liability or claim that the Volunteer may have against Habitat with respect to any bodily injury, personal injury, illness, death, or property damage that may result from Volunteer s Activities with Habitat, whether caused by the negligence of Habitat or its officers, directors, employees, or agents or otherwise. Volunteer also understands that Habitat does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness. Medical Treatment. Volunteer does hereby release and forever discharge Habitat from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Volunteer s Activities with Habitat. Assumption of the Risk. The Volunteer understands that the Activities included work that may be hazardous to the Volunteer, including, but not limited to, construction, loading and unloading, and transportation to and from the work sites. Volunteer hereby expressly and specifically assumes the risk of injury or harm in the Activities and releases Habitat from all liability for injury, illness, death, or property damage resulting from the Activities. PLEASE COMPLETE THE REVERSE SIDE

4 Insurance. The Volunteer understands that, except as otherwise agreed to by Habitat in writing, Habitat does not carry or maintain health, medical, or disability insurance coverage for any Volunteer. Each Volunteer is expected and encouraged to obtain his or her own medical or health insurance coverage. Photographic Release. Volunteer does hereby grant and convey unto Habitat all right, title, and interest in any and all photographic images and video or audio recordings made by Habitat during the Volunteer s Activities with Habitat, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings. Other. Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Pennsylvania, and that this Release shall be governed by and interpreted in accordance with the laws of the State of Pennsylvania. Volunteer agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable. IN WITNESS WHEREOF, Volunteer has executed this Release as of the day and year first above written. Volunteer: Address: Phone (H): Phone (W): Witness: Emergency Contact:

5 Return Your Volunteer Information Form To: P.O. Box 1452 Coatesville, PA Fax: Date: Name: Mailing Address: City: State: Zip: Home Phone: ( ) Work Phone: ( ) Address: Employer: Job Title: Which Church do you attend: Please contact me about other volunteer opportunities: Fundraising General Office Help HomeStore Writing/Public Relations I am interested in participating on a committee: Church Relations Family Selection Family Partnering Finance Resource Development (Fundraising) Site Selection Women Build

6 HABITAT FOR HUMANITY OF CHESTER COUNTY, INC. PARENTAL PERMISSION for volunteers under 18 (MUST BE AT LEAST 16 YEARS OF AGE) I hereby give permission for (Name) to participate in the Habitat for Humanity of Chester County, Inc. work project on (Date) at the (Location) work site. All possible care and precaution will be taken to safeguard the volunteers from accident and injury. However, written consent of the parent or guardian is required of all minors prior to the work project. I hereby release Habitat for Humanity of Chester county, Inc. from any liability in the event of an accident/injury. Signature of Parent/Guardian In the event that treatment must be administered and I nor another legal guardian cannot be contacted, I hereby give permission for an authorized agent of Habitat for Humanity Chester County, Inc. to act for me with respect to the above mentioned minor, and in my name in any way I could act in person to make any decisions for me with respect to the above mentioned minor, concerning his/her personal care, medical treatment, hospitalization, and health care. In case of emergency, please contact: Signature of Parent/Guardian Name: Relation: Home Phone: Work Phone: (please complete back of form)

7 Page 2 The following information may be needed by any hospital or medical practitioner not having access to the volunteer's medical history: Allergies: Medication being taken: Date of last tetanus shot: Physical Impairments: PERSONAL PHYSICIAN: Name: Address: Phone: HEALTH INSURANCE COVERAGE: Company: Policy Number: Insurance Agent: Thank you for your cooperation. Rev. 10/00