FFR Volunteer Waiver

(all fields are required)

I understand that entering any health facility increases my risk of infection from both contagious and blood transferred diseases.

As a volunteer of Firm Foundations - Romania, volunteering at the Brasov
Children's Hospital, I hereby acknowledge that I enter the Brasov Children's Hospital at my own risk. Firm Foundations - Romania, all of its members, both in a personal and professional capacity, and also the staff of the Brasov Children's
Hospital, are in no way responsible for any costs incurred due to illness I may contract due to a direct or indirect result of my volunteering in the Brasov Children's Hospital.

In the same manner, I understand that as an adult, I am completely responsible for my own health and well being while in Romania. Firm Foundations – Romania will do it’s utmost to assist in any and all emergencies, but is not financially or legally responsible for me in any way.

Checking the box below indicates that I have read and fully understand the above.

Please make a selection.YES, I AGREE

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Date: Required.Invalid format.

   
*Notice of Collection of Information
Personal information collected on this form is collected for the purpose of processing this application and administration and enforcement. Personal information on this form is collected under the Freedom of Information and Protection of Privacy Act and is necessary for the operation of Firm Foundations Romania.
" I will strengthen you and help you. I will uphold you with my righteous right hand " Isaiah 41:10