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  • AccidentWaiver NikunjYuvaSeva

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    The document is an accident waiver and release of liability form for Bay Area Youth Vaishnav Parivar's "Nikunj Yuva Seva" program. It states that by signing, the volunteer accepts responsibility for their safety and waives their right to hold BAYVP legally responsible for any injuries or claims resulting from participation in activities. It also requires consent for medical treatment and acknowledges financial responsibility for any medical expenses. For minors under 18, a parent or guardian must also sign agreeing to these terms on behalf of the child.

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    AccidentWaiver_NikunjYuvaSeva

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    The document is an accident waiver and release of liability form for Bay Area Youth Vaishnav Parivar's "Nikunj Yuva Seva" program. It states that by signing, the volunteer accepts responsibility for their safety and waives their right to hold BAYVP legally responsible for any injuries or claims resulting from participation in activities. It also requires consent for medical treatment and acknowledges financial responsibility for any medical expenses. For minors under 18, a parent or guardian must also sign agreeing to these terms on behalf of the child.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    20 views1 page

    AccidentWaiver NikunjYuvaSeva

    Uploaded by

    bayvp
    The document is an accident waiver and release of liability form for Bay Area Youth Vaishnav Parivar's "Nikunj Yuva Seva" program. It states that by signing, the volunteer accepts responsibility for their safety and waives their right to hold BAYVP legally responsible for any injuries or claims resulting from participation in activities. It also requires consent for medical treatment and acknowledges financial responsibility for any medical expenses. For minors under 18, a parent or guardian must also sign agreeing to these terms on behalf of the child.

    Copyright:

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    of 1

    || Jai Shree Krishna ||

    Bay Area Youth Vaishnav Parivar


    ACCIDENT WAIVER AND RELEASE OF LIABILITY
    142 N. Milpitas Blvd., #110
    Milpitas CA 95035 I voluntarily accept any and all responsibility of my safety and welfare while
    participating/volunteering in all activities at Bay Area Youth Vaishnav Parivar’s, called
    California Non-Profit Org. as BAYVP from here on, “Nikunj Yuva Seva” program.
    Federal Tax ID
    02-0647810
    I acknowledge that this Accident Waiver and Release of Liability Form will be used
    info@bayvp.org by BAYVP for any activity or event in which I may participate and that it will govern my
    www.bayvp.org actions and responsibilities at said activity or event.

    President I WAIVE, RELEASE, AND DISCHARGE BAYVP from any and all liability, including but
    Suresh Gandhi not limited to, liability arising from the negligence or carelessness on the part of the
    (650) 357-1094
    persons or entities being released.
    Vice President
    Saumil Shah I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE BAYVP of any and all
    (510) 897-8111 responsibility and liability for any injury or claim resulting from such participation and
    agree to take no legal action against the BAYVP because of any accident or mishap
    Treasurer
    Anjan Parikh
    involving my participation in any and all activities or events.
    (408) 270-1827
    I hereby consent to receive medical treatment, which may be deemed advisable in
    Secretary the event of injury, accident, and/or illness during any activity or event and will bear
    Himanshu Majmudar full responsibility of any expenses that may occur.
    (510) 651-5526

    Board of Directors I HAVE READ THIS CAREFULLY AND I FULLY UNDERSTAND ITS CONTENT.

    Asmita Sheth
    (510) 656-0419 Name of Volunteer: __________________________________________________
    Dr. Divyang Patel
    (415) 467-7500
    Signature of Volunteer: _______________________________
    Latika Patel
    (510) 792-7793 Date: _______________________
    Ravi Desai
    (408) 448-1765 PARENT/GUARDIAN WAIVER FOR MINORS (Under 18 years old)

    Rohit Parikh The undersigned parent/Guardian does hereby represent that he/she, acting in such
    (510) 683-9193 capacity, has consented to his/her child or ward’s participation in any activity or event,
    Sangita Shah
    and has agreed individually and on behalf of the child or ward, to the terms of the
    (510) 739-0327 accident waiver and release of liability set forth above.

    Sharad Kurani Name of Child: ________________________________ Date: _________________


    (510) 796-2514

    Varsha Patel
    (510) 796-4002 Signature of Parent/ Guardian: ________________________________

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