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College Registration 2026-2027

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Emergency Information

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Please fill this information out as thoroughly as possible as we use this if an emergency were to arise.
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Volunteer Contract

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1. I am fully aware that the volunteer experience at Nazareth Farm will require me to make personal sacrifices of which I may not be accustomed. I agree to live this week with simplicity, doing without some of the conveniences to which I am accustomed. I will work and complete tasks to the best of my ability.
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2. I realize that living and working together in community will require me to display patience and respect towards all members of the group. I realize the importance of following a schedule and the guidance and instruction of the leaders. I am willing to comply with the requests of the leadership and be flexible with what is asked of me.
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3. I am aware that the week will involve a focus on prayer based on the Catholic tradition. I am open to this experience and will actively participate to the degree which I am able.
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4. I further realize that I will be visiting an area where the culture and customs may differ from my own. I will treat all people at the Farm and in the surrounding community with respect.
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5. I agree not to involve myself in drugs, alcohol, or sex while at Nazareth Farm.
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6. I give consent for Nazareth Farm to videotape and photograph me during my volunteer week. I understand these photographs and videotapes may be used for advertising and/or orientation materials for Nazareth Farm including the Nazareth Farm website. I give my permission for possible videotaping and/or still photographs.
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7. During my group week, I give consent for Nazareth Farm to post my address in order to confirm and/or correct my mailing address and contact information.
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8. I dedicate myself to be an active participant in this week of service, prayer, simplicity, and community as an experience of Christian living. By signing my name below, I agree to the above terms, and if I am under 18, I certify that I have read over the volunteer contract with my parent(s) and/or guardian(s).
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Volunteer Release and Waiver of Liability

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Important: Each volunteer must sign the "Release and Waiver of Liability" before working with Nazareth Farm. Please read this waiver carefully before you sign.
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This Release and Waiver of Liability (the “Release”) executed on this day in favor of NAZARETH FARM, INC., a non-profit corporation organized and existing under the laws of the State of West Virginia, USA, its directors, officers, employees, agents, successors and assigns (“Nazareth Farm” herein). The individual desires to volunteer for Nazareth Farm and engage in the activities related to being a volunteer (the “Activities”). I, the volunteer hereby freely and voluntarily, without duress, execute this Release under the following terms: 1. Waiver and Release. I, the volunteer release, forever discharge, indemnify and hold harmless Nazareth Farm from any and all liability, claims, and demands of whatever kind or nature, either in law of in equity, which arise or may hereafter arise from the Activities at Nazareth Farm. I, the volunteer understand and acknowledge that this Release discharges Nazareth Farm from any liability or claim that I, or my guardians or successors may have against Nazareth Farm with respect to bodily injury, personal injury, illness, death, and/or property damage that may result from my Activities with Nazareth Farm, whether caused by the negligence of Nazareth Farm or otherwise. It is also understood that Nazareth Farm 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, illness, death, or property damage. 2. Insurance. I, the volunteer understand that Nazareth Farm does not carry or maintain health, medical, or disability insurance coverage for any volunteer. I expressly waive any such claim for compensation or liability on the part of Nazareth Farm in the event of such injury or medical expense. I understand that Nazareth Farm requires me to carry medical insurance in order to participate in any volunteer activities at Nazareth Farm. 3. Medical Treatment. I, the volunteer hereby release and forever discharge Nazareth Farm from any claim whatsoever which arises or may hereafter arise on account of any first aid treatment or other medical services rendered in connection with my Activities with Nazareth Farm. 4. Assumption of Risk. I, the volunteer understand that the time with Nazareth Farm may include activities which may be hazardous to me including, but not limited to, construction activities, use of power tools, use of cutting tools, loading and unloading of heavy equipment and materials, climbing ladders and transportation to and from work sites. Also I, the volunteer recognize and understand that the time with Nazareth Farm may, in some situations, involve inherently dangerous activities. These potential dangers are part of and inherent to the activity I am going to engage in and in some instances the activities cannot be made safer. As the volunteer, I hereby expressly assume the risk of injury or harm in these activities and release Nazareth Farm from all liability for injury, illness, death, or property damage resulting from these activities. I further assert and agree that I will adhere to all instructions given to me by Nazareth Farm. 5. Photographic and Statement Release. As the volunteer, I grant and convey unto Nazareth Farm all right, title, and interest in any and all photographic images, video or audio recordings, and statements or writing made by or to Nazareth Farm during my Activities with Nazareth Farm (the “Materials”), including, but not limited to, any royalties, proceeds, or other benefits derived from such materials. I grant Nazareth Farm the unrestricted right and permission to use the Materials for any lawful purpose whatsoever. I waive any right of publicity or privacy I might have with respect to such Materials. 6. Other. As the volunteer I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of West Virginia in the USA, and that this Release shall be governed by and interpreted in accordance with the laws of the State of West Virginia. I agree 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. <br> To express my understanding of this Release, I sign here and check the appropriate box below.
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During the volunteer’s week here at Nazareth Farm, she or he will ride in vans to and from worksites. Because parish/school groups are broken up into work groups, it is very likely that volunteers will ride in a van driven by an adult group leader other than their own. All vans will only be driven by adults during the week. I the undersigned, do hereby authorize the adult staff members of Nazareth Farm as my agents, to consent to any examinations, x-ray, anesthetic, medical, or surgical diagnosis or treatment and hospital care which is deemed advisable by a qualified physician or local hospital. Nazareth Farm agrees to contact the undersigned as soon as possible if an emergency should arise. I will assume responsibility for fees incurred by such an emergency. In addition, I certify that the above information is correct and give permission for the release of medical records to the attending physician.
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