Rebuilding Together Long Island relies on the hard work and dedication of our volunteers. We greatly appreciate your service to our organization, to our neighbors and our communities across our Island and welcome your participation.

Please carefully review the following and indicate your acceptance below.

Step Two

Confidentiality & Volunteer Waiver

In consideration of my participation in any and all of Rebuilding Together Long Island’s projects, I, the undersigned, for myself and my personal representatives, assigns, heirs and next of kin, do HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT, NOT TO SUE REBUILDING TOGETHER LONG ISLAND, INC. (“RTLI”), its sponsoring agencies, its directors, officers, agents, employees and assigns (hereafter collectively referred to as “RELEASEES”) from any and all liability to me, my personal representatives, assigns, heirs and next of kin for any and all loss or damage and any claim or demands therefore, on account of injury to person or property, including injury resulting in my death, whether caused by the negligence of RELEASEES or otherwise occurring when I am participating in any RTLI project. I HEREBY AGREE TO INDEMNIFY, SAVE AND HOLD RELEASEES HARMLESS from any and all loss, liability, damage or cost including attorney’s fees RELEASEES may incur due to my participation in any RTLI project.

I EXPRESSLY AGREE that the foregoing release, waiver and indemnity is intended to be as broad and inclusive as is permitted by the State of New York and that if any portion thereof is held invalid, I agree that the balance shall, not withstanding, continue in full force and effect. I further agree that any claims arising hereunder are to be submitted to arbitration under the laws of the State of New York.

I also grant to RTLI permission to take or have taken, still and moving photographs, films and videos. I consent and authorize RTLI, its advertising agencies, news media and any other persons interested in its works, to use and reproduce the photographs, films and videos and to circulate and publicize the same by all means including, without limiting the generality of the foregoing, newspapers, television, social media, brochures, pamphlets, public relations materials and books.

During the course of my volunteerism, I will at all times respect the private and confidential information of RTLI, its clients, staff, volunteers, donors and visitors. Client information will not be disclosed or shared with anyone outside the RTLI organization. I agree that I will not publicize, whether in written form or verbally, even general personal information that might identify the person(s) served. I understand that misuse of information, gossiping and/or breaching confidentiality may be grounds for limiting my volunteer responsibilities or excluding me from future participation in RTLI projects.

I have carefully read and agree to abide by the terms of Rebuilding Together Long Island's Confidentiality & Volunteer Waiver as posted on its website. *
Name ...... I understand that entering my name below shall serve as my signature and full acceptance of RTLI's Confidentiality & Volunteer Waiver. *
Name ...... I understand that entering my name below shall serve as my signature and full acceptance of RTLI's Confidentiality & Volunteer Waiver.
Date *

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