Please Complete the Volunteer Form

---

As a volunteer of Growing Home, I understand that I have an obligation to protect personal information and other kinds of restricted information that I may learn during the course of my volunteer activities with Growing Home. Restricted information may include, but is not limited to:

• Participant information, including name, ages, residence, citizenship status, and/or medical history
• Pending projects and proposals
• Pre-patent or pre-copyright material
• Nonpublic financial information
• Employee information
• Organizational structure
• Methods, procedures, or manuals
• Strategic marketing plans
• Operating procedures
• Health and nonpublic safety information
• Research and development strategies

I agree to protect from unauthorized use and disclosures all restricted information to which I have access to, or may learn, in the course of my volunteer activities with Growing Home. I agree to use the restricted information only for the purposes for which it was collected and consistent with my volunteer responsibilities. If I become aware of restricted information that is unlawfully shared or used in an unauthorized way, I will immediately notify the Chief Financial and Operating Officer.

Growing Home’s records, including documents, computer files, and similar materials, may not be copied, photographed, or removed from Growing Home premises without prior management approval. Removal from the Growing Home premises means the actual physical removal of information as well as the transmittal of information via fax, telephone, e-mail, social media, or any other form of electronic communication.

I understand the obligation to maintain the confidentiality of Growing Home’s restricted information remains even after I am no longer volunteering with GrowingHome.

I, the undersigned, understand that the activities involved with the program may contain an element of hazard or risk. I understand that there are potential risks of which I may not presently be aware. I recognize the possible hazards and risks involved in the activities and take full responsibility for my participation in these activities. Nevertheless, I voluntarily elect to participate in the volunteer work at Growing Home with knowledge of the danger involved, and I hereby agree to accept and assume any and all risks of property damage, personal injury, or death. In general, volunteer work can be strenuous, and lifting can be dangerous if done improperly. While volunteering at the Growing Home, I agree that I am responsible for ensuring my own personal health and safety as well as the personal health and safety of any children I choose to bring to Growing Home.

I hereby agree to waive, release, and discharge Growing Home and any cooperating agencies involved in the activities, as well as any of their respective servants, agents, officials and employees {collectively, the "Discharged Parties"), from any and all negligence and liability for my death, disability, personal injury, property damages, property theft, or claims of any nature which may accrue to me as a direct or indirect result of my participation in Growing Home's volunteering. I agree to defend, indemnify, and hold harmless the Discharged Parties from any loss, liability, injury, damage or costs, including court costs and reasonable attorney fees, that may be incurred due to my participation at Growing Home. I agree that I am fully responsible for payment of all costs resulting from any injuries I sustain including the rendering of medical aid and ambulance service. I acknowledge and agree that I am not currently and will not in the future be covered under any of the Discharged Parties' workers' compensation programs.

By signing this document, I hereby certify that I have read, understand, and agree to the terms of this Waiver.

I HAVE RECEIVED A COPY OF GROWING HOME’S VOLUNTEER GUIDEBOOK. I UNDERSTAND THAT THE HANDBOOK PROVIDES A SUMMARY OF GROWING HOME’S GUIDELINES AND ITS EXPECTATIONS REGARDING MY CONDUCT. I UNDERSTAND I AM TO BECOME FAMILIAR WITH ITS CONTENTS.

THE LANGUAGE USED IN THIS GUIDEBOOK AND ANY VERBAL STATEMENTS OF GROWING HOME’S MANAGEMENT ARE NOT INTENDED TO CONSTITUTE A CONTRACT OF ANY SORT, EITHER EXPRESS OR IMPLIED.

FURTHER, I UNDERSTAND THAT THE CONTENTS OF THIS GUIDEBOOK ARE SUMMARY GUIDELINES FOR VOLUNTEERS AND THEREFORE NOT ALL INCLUSIVE.THIS GUIDEBOOK SUPERSEDES ALL PREVIOUSLY ISSUED EDITIONS. NO ORAL STATEMENTS OR REPRESENTATIONS CAN CHANGE THE PROVISIONS OF THE GUIDEBOOK OR ANY SUPPLEMENT. GROWING HOME RESERVES THE RIGHT TO REVISE, DELETE, OR ADD TO ANY OR ALL OF THE GUIDELINES MENTIONED, ALONG WITH ANY OTHER PROCEDURES, PRACTICES, BENEFITS, OR OTHER PROGRAMS OF GROWING HOME, INC. THESE CHANGES MAY OCCUR AT ANY TIME, WITH OR WITHOUT NOTICE.

I HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS.