I, ________________________________________________________, (hereinafter referred to as a Volunteer), do hereby acknowledge that in order for me to be accepted as a Village Volunteer I acknowledge, understand, and agree to the following conditions of participation:

1. The Volunteer does hereby agree to release and forever discharge the Village of Riverside, the Board of Trustees, and their officers, agents, and employees, and servants from all actions, suits, debts, sums of money, accounts and all claims and demands of whatever nature, in law or in equity, including but not limited to, any and all future claims for property damage or bodily injury arising out of the Volunteer’s service and further agrees to waive any and all claims and demands of whatever nature, in law and equity arising out of the Volunteer’s participation to serve the Village of Riverside.

2. The Volunteer further agrees that the Village of Riverside, the Village Board of Trustees, their officers, employees, agents, and servants shall not be liable under any circumstances for any loss or damage whatsoever, whether direct, indirect, consequential or resultant, including without limitation, death, personal injury and loss or damage to any property whatsoever arising out of or resulting from or connected with the Volunteer’s participation, whether or not such injury, loss or damage is caused by the negligent acts or omissions to act on the of the Village of Riverside, Village Board of Trustees, or their officers, employees, agents, or servants; and further, agrees that all risks in connection with any act or failure to act arising directly or indirectly from the Volunteer’s participation are assumed solely, fully, and completely by the Volunteer.

3. The Volunteer agrees to defend, protect, save harmless, and indemnify the Village of Riverside, the Riverside Board of Trustees, and their officers, employees, agents and servants from any and all liability, suits claims, demand, damages, costs and expenses, arising out of or claimed to be arising out of or resulting from or claimed to have resulted from any injury or damage to the person or property of the Volunteer or any other person arising out of Volunteer’s participation whether or not such injury or damage is caused by the negligent acts or omissions to act on the part of the village of Riverside, the Riverside Board of Trustees, or their officers, employees, agents, or servants.

4. The Volunteer understands that he/she is not an employee of the Village of Riverside, or any agency that he/she may be assigned to, through his/her participation.

I, ____________________________________________________________ state that I have read this entire acknowledge, understand all its terms, and execute it voluntarily with full knowledge of its significance. In witness thereof, I have executed this acknowledgement at Riverside, Illinois this: