1. I am personally responsible for my own safety and actions during my participation in the QVS year.

2. I have read QVS’s COVID-19 Procedures (https://quakervoluntaryservice.org/covid-19/), and agree to adhere to them.

3. I affirm that I will:
---Respect each individual’s concerns regarding COVID-19.
---Monitor COVID-19 symptoms daily.
---Wear a mask and practice social distancing by staying 6 feet apart from people I don’t live with.
---Stay home if I am ill or experiencing symptoms of COVID-19.
---Wash my hands often and thoroughly with soap and water, or use hand sanitizer when soap and water are not available.
---Practice proper cough/sneeze etiquette and avoid touching my face.
---Remain flexible as public health recommendations related to COVID-19 evolve.

I am aware that participation in the Program, including any related travel, carries with it certain inherent risks related to COVID-19 transmission, exposure, and/or infection. With full knowledge of the risks involved, I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, discharge and agree to indemnify, defend, and hold harmless Quaker Voluntary Service, Inc., its board of directors, officers, officials, independent contractors, agents, sponsoring agencies, sponsors, advertisers, affiliates, employees, representatives, successors, assigns, other participants and, if applicable, owners and lessors of the premises used to conduct the Program (collectively, the “Releasees”), from and against any and all liabilities, claims, demands, actions, damages, costs, expenses and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, disability or death, whether arising from the negligence of the Releasees or otherwise, that may be sustained by me related to COVID-19 before, during, or after participation in the Program.