High Risk Activity Form - Volunteer

VOLUNTEER RELEASE: HIGHER RISK ACTIVITY PARTICIPATION

Name(Required)
MM slash DD slash YYYY
I, see name above, understand Big Brothers Big Sisters of Dufferin and District is committed to the safety of volunteers and young people when participating in agency mentoring programs. I understand that some activities are considered to be at slightly higher risk for injury and that by signing this agreement, I am accepting responsibility for all risks associated by my involvement. Further, I agree to take all necessary precautions to ensure the safety of myself and my mentee while participating in higher risk activities. I also understand that Big Brothers Big Sisters of Dufferin and District can end participation of an activity any time the agency deems an activity to be unsafe or at high risk of injury to the mentee or volunteer.(Required)
I hereby acknowledge that I agree to consent to my participation in the following higher risk activities(Required)
Clear Signature
This field is for validation purposes and should be left unchanged.