In exchange for the privilege of participating in a Blue Zones event, as a participant or a volunteer, I understand and agree that:

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES being conducted by Blue Zones, LLC (“Blue Zones”). I will hold Blue Zones 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 and Blue Zones’ 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.  and its 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. reserves the right to refuse or dismiss anyone, including participants or volunteers, from participating in an activity or event to prevent a disturbance or hindrance that could jeopardize the safety of others.

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

CONFIDENTIALITY AND CONFIDENTIAL INFORMATION
As a participant or volunteer, I acknowledge that I may have access to confidential information of Blue Zones or other third 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.

INSURANCE
I understand that I must carry automobile liability insurance for any driving that I do related to my volunteer assignment(s).

PHOTO RELEASE AUTHORIZATION
I give full consent to Blue Zones and its staff, contractors and volunteers to take and use photos of me and anyone participating or volunteering with me.  I hereby irrevocably grant to Blue Zones and each of their affiliates, successors and assigns, customers, vendors, service providers, and licensees, an exclusive, assignable, irrevocable, perpetual, worldwide, sub-licensable, royalty free, unlimited license to use, copy, reproduce, distribute, modify, adapt, alter, translate, improve, create derivative works of, practice, publicly perform, publicly display, and digitally perform and display my picture, likeness, and voice in any media for publicity, art, advertising, trade, or for any other lawful purpose (the “Use”).

I hereby release Blue Zones from any liability that may result from the Use of my image by Blue Zones.

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.

By providing my information below I hereby consent to Blue Zones privacy policy.

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.