CONFIDENTIALITY AGREEMENT & WAIVER/RELEASE OF LIABILITY​

By registering for any Selah Freedom activities or events, the individual acknowledges this “Agreement and Release from Liability” form.

I acknowledge that I am voluntarily visiting, touring or participating in activities of Selah Freedom, a nonprofit corporation organized and existing under the laws of the State of Florida.

Assumption of Risk

I hereby acknowledge that part of the mission of Selah Freedom is to provide services to victims of human trafficking and in carrying out that mission, I am aware that Selah Freedom assists individuals who have been involved with activities that may be considered dangerous. I am aware that there are risks, including, but not limited to physical violence, crime, and illness, as well as similar and dissimilar risks. I AM AWARE THAT PARTICIPATING WITH SELAH FREEDOM, INCLUDING VISITS TO ANY SELAH FREEDOM EVENT, MAY INVOLVE RISKS. I AM VOLUNTARILY PARTICIPATING WITH SELAH FREEDOM WITH KNOWLEDGE OF THE RISKS INVOLVED. I HEREBY AGREE TO ACCEPT ANY AND ALL CONSEQUENCES OF THE RISKS I AM CHOOSING TO INCUR INCLUDING, BUT NOT LIMITED TO INJURY, ILLNESS, DEATH OR PROPERTY DAMAGE THAT MAY RESULT FROM MY PARTICIPATION WITH SELAH FREEDOM ACTIVITIES.

Confidentiality

I further understand that the circumstances surrounding individuals in the care and custody of Selah Freedom requires that certain information about the services provided to these individuals be kept strictly confidential for security and safety purposes. I hereby agree that I will not discuss or divulge the location of any of the Selah Freedom safe houses or event locations, the name, identity, or personal information of any of the Selah Freedom employees, affiliates, or residents of the Selah Freedom safe houses to any third party that I do not personally know to be an approved visitor, volunteer, employee, affiliate or resident for Selah Freedom. I further agree that I will not discuss or divulge any strategic information, projects, ideas, concepts, processes, procedures, proposals, requests for proposals, marketing plans, fundraising plans, financial information or other similar information regarding Selah Freedom. In the event that I should inadvertently divulge the above- referenced confidential information, I will immediately contact Selah Freedom to report any such dissemination of information.

 

Release from Liability

As consideration for visiting and/or participating in Selah Freedom activities, I hereby indemnify and hold harmless, and fully and forever release and discharge and covenant not to sue, Selah Freedom, its successors and assigns, and its affiliates, subsidiaries, directors, officers, employees, volunteers and agents, from and against any and all claims, demands, actions, causes of action, liability, costs, damages or injury, whether

known or unknown, foreseen or unforeseen, suspected or unsuspected, which arise or may hereafter arise from my visit to or volunteer work with Selah Freedom, including without limitation, my involvement with and participation with respect to Selah Freedom programs, participants and other Selah Freedom volunteers. I understand and acknowledge that this Release discharges Selah Freedom from any liability or claim that I may have against Selah Freedom with respect to any bodily injury, personal injury, illness, death or property damage that may result from participation in Selah Freedom activities. It is understood that Selah Freedom does not assume any responsibility for, and is under no obligation to indemnify me or provide any other remedy in the event of any claim, demand or action against me by or on behalf of any participant in Selah Freedom activities, or any other organization or entity providing services with or on behalf of Selah Freedom. My waiver and release described herein includes a full and complete waiver of any right or claim for any such indemnification or remedy.

Knowing and Voluntary Execution

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE AND WAIVER OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND SELAH FREEDOM. I CONFIRM THIS AGREEMENT VOLUNTARILY AND IN ACKNOWLEDGEMENT OF THE FOREGOING.

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In accordance with federal law and U.S. Department of Justice policy, this organization is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability. To file a complaint of discrimination, write the Florida Department of Legal Affairs, Federal Discrimination Complaint Coordinator, PL-01 The Capitol, Tallahassee, Florida, 32399-1050, or call 850-414-3300, or write Office for Civil Rights, Office of Justice Programs, U.S. Department of Justice, 810 7th Street, NW, Washington, DC 20531 or call 202-307-0690 (Voice) or 202-307-2027 (TDD/TYY) or https://ojp.gov/about/ocr/complaint.htm. Individuals who are hearing impaired or have speech disabilities may also contact OCR through the Federal Relay Service at 800-877-8339 (TTY), 877-877-8982 (Speech), or 800-845-6136 (Spanish).  

EIN 45-5189165