Release and Indemnification Agreement

The Center for Social Concern requires all students participating in our programs to submit the Center for Social Concern’s Release and Indemnification Agreement. If you are participating in a CSC program, please submit the agreement below or PDF Document: bring the signed agreement to the Center for Social Concern.

If you have questions about the Center for Social Concern’s policies, view our Forms and Policies page.

Have questions? Contact volunteer@jhu.edu or (410)516-4777.

Center for Social Concern Release and Indemnification Agreement

Emergency Contact Information

Your emergency contact should be someone who can be reached 24/7 during your entire Hopkins career. This person should also know your medical history and be able to contact family and friends in case of an emergency.

THE JOHNS HOPKINS UNIVERSITY
CENTER FOR SOCIAL CONCERN
RELEASE AND INDEMNIFICATION AGREEMENT

The Center for Social Concern (CSC), an office within Homewood Student Affairs of the Johns Hopkins University (JHU), is dedicated to volunteerism and community engagement. I want to participate in one or more opportunities that CSC makes available for JHU students to volunteer with outside organizations. I understand that I am not required by JHU to participate in any volunteering or other activities that CSC makes available, but choose to do so voluntarily. I understand that JHU does not manage, supervise, direct or control my activities while participating in opportunities that CSC makes available, including without limitation volunteering with, through or for outside organizations, and transportation to and from those activities (collectively, the "activities").

When participating in the activities, I understand that I may be exposed to risk, including, by way of example, risk for personal injury, illness, death, or property damage. I knowingly and voluntarily assume all risks associated with any activities I participate in and any related consequences. I certify that I have no medical or other conditions that preclude my participation in the activities or make my participation dangerous or harmful to me or others.

In consideration for permission to participate in the activities, I agree that neither JHU, nor any of its employees or agents, shall have any responsibility for any cost, loss, injury, or damage that I incur or suffer in connection with my volunteering (including, but not limited to, any personal injury, illness, death, or property damage), and I hereby expressly waive and release all rights, claims, causes of action, and the like of any nature whatsoever which I or my heirs or legal representatives may have against JHU or any of its employees or agents in connection with my participation in the activities, except to the extent directly caused by JHU's negligence, gross negligence or willful misconduct. I, for myself and my heirs and legal representatives, hereby agree to indemnify and hold harmless JHU from any third party claims or actions of any nature, and any associated costs, losses or damages, including reasonable attorneys' fees, arising from or in connection with my acts or omissions when participating in the activities.

This agreement will be construed in accordance with the laws of the State of Maryland without regard to its conflict of laws principles. If any portion of this agreement is held invalid, the remainder of the agreement shall continue in full force and effect.

I certify that I am over 18 years of age, or if I am under the age of 18 years, I certify that I have the permission of my parent or legal guardian to participate in the activities, indicated by his or her signature below.

I CERTIFY THAT I HAVE READ, FULLY UNDERSTAND AND VOLUNTARILY AGREE TO THE TERMS OF THIS AGREEMENT AND THAT I SIGN IT VOLUNTARILY WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.

To be completed if Participant is under 18 years of age:

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