Home
policy

Blue Zones Project Digital Volunteer Agreement​

One of the easiest, best ways to improve your life, health, and happiness (all for free!) is to sign up to volunteer in your community. It’s a long-term investment in your health and in your community if you sign up to do it regularly, and you’ll meet like-minded people along the way. At Blue Zones Project Petaluma, we use this principle to improve individual and community well-being by highlighting local volunteer opportunities and creating opportunities for groups to volunteer together (coworkers, congregation members, students, neighbors). Helping others benefits our health, just as it benefits those we serve through volunteering. 

THE VOLUNTEER CONSENT AND AGREEMENT FORM MUST BE COMPLETED, SIGNED, AND DATED PRIOR TO YOUR VOLUNTEER PLACEMENT AND ASSIGNMENT.  

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES being conducted by Blue Zones Project. I will hold Blue Zones Project and Blue Zones, LLC. harmless in the result of any injury[s], loss or damages which may be sustained while fulfilling the assigned volunteer tasks.

 I CERTIFY that I am physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I WAIVE, RELEASE, AND DISCHARGE Blue Zones Project and Blue Zones, LLC. and staff, vendors, representatives, agents and volunteers from all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity. I acknowledge that Blue Zones Project and Blue Zones, LLC.  and their directors, staff, officers, volunteers, representatives, and agents are NOT responsible for errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity. 

I further understand and agree that Blue Zones Project and Blue Zones, LLC. reserves the right to refuse or dismiss anyone, including volunteers, from participating in an activity or event to prevent a disturbance or hindrance that could jeopardize the safety of others.  

This will serve as a Volunteer Agreement (“Agreement”) between the volunteer applicant and the Blue Zones Project®, regarding my volunteer commitment. In exchange for the privilege of participating in Blue Zones Project as a volunteer, I understand and agree to the following terms:

VOLUNTEER’S RESPONSIBILITY
I understand my volunteer responsibilities shall include, but not be limited to, the following:
• Assisting staff in necessary tasks as assigned
• Show up to shift on time with appropriate clothing depending on assignment (e.g., t-shirt, close-toed shoes for events, business casual for office work)

BLUE ZONES PROJECT’S RESPONSIBILITY
I understand Blue Zones Project’s responsibilities shall include, but not be limited to, the following:
• Provide necessary supplies in order to carry out volunteer work
• Supply Blue Zones Project staff person during shifts at all times to provide direction and assistance to carry out volunteer tasks
• Ensure access to restroom facilities, first aid kits, and water as needed

VOLUNTEER STATUS
I understand that my volunteer status with Blue Zones Project is “at will” and that Blue Zones Project or I may terminate my volunteer status with Blue Zones Project at any time for any reason.

CONFIDENTIALITY AND CONFIDENTIAL INFORMATION
Blue Zones Project values the confidentiality of participants as appropriate, business operations, employees and overall dealings of the Blue Zones Project initiative. Blue Zones Project is legally and morally obligated to ensure the protection of those parties. Confidential information includes, but is not limited to, such things as participant personal information, personnel files, financial and marketing data, expert materials, compensation data, addresses, phone numbers, medical history data and trade secrets.  There is an expectation that all confidential information will be maintained as confidential.

If I am the recipient of such confidential information, I understand that any unauthorized release by me or carelessness in the handling of this confidential information by me is considered a breach of the duty to maintain confidentiality. I further understand that any breach of the duty to maintain confidentiality could be grounds for immediate dismissal and/or possible liability in any legal action arising from such breach.

LIABILITY
I understand that I must carry automobile liability insurance for any driving that I do related to my volunteer assignment(s).  By signing this Agreement, I hereby agree to fully accept any and all risk of injury, illness and death that may result from my participation in the volunteer program and hereby fully release Blue Zones, LLC and Blue Zones Project from any and all liability or damages for claims I may have relating to my work as a volunteer.


PHOTO RELEASE AUTHORIZATION
I give full consent to Blue Zones Project and Blue Zones, LLC. staff, contractors and volunteers to take and use photos of me and anyone volunteering with me for social media purposes (website, social media sites, literature, newsletters, etc.). I understand that photos of volunteers will be used for the sole purpose to promote the organization; its Volunteer Program, events, and activities.

I hereby release Blue Zones Project from any liability that may result from the use of my (son/daughter’s) image as part of publicity efforts by Blue Zones Project.

VOLUNTEERS UNDER 18 YEARS OF AGE*
If I am between the ages of 15-18:
• I must have a parent accompany me to sign this Agreement or email/fax the Agreement to Blue Zones Project ahead of time with parental signature
• A parent does not have to be present with me to volunteer.
*For youth volunteers under the age of 18, parental signature and consent is required.

IF I AM UNDER THE AGE OF 15:
• I must have a parent accompany me to sign this Agreement or email/fax the Agreement to Blue Zones Project ahead of time with the signature.
• A parent or trusted adult must be present to supervise me during volunteer shift.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND I SIGN IT OF MY OWN FREE WILL. 

For youth volunteers under the age of 18, parental consent is required.