Volunteer Consent Form

In consideration of Operation International arranging a volunteer assignment for me, and with the intention of binding myself, my heirs, legal representatives, successors and assigns, I hereby expressly RELEASE AND FOREVER DISCHARGE Operation International, its officers, directors, employees, volunteers, agents, legal representatives, insurers, successors, and assigns from any and all claims, demands, damages, liabilities, and causes of action that I now have or may in the future have, whether known or unknown, of whatsoever nature, relating to or arising out of my selection as a volunteer by, or my services as a volunteer with Operation International whether caused by the negligence of Operation International or otherwise. This includes, but is expressly not limited to, death, bodily injury, personal injury, property damage, loss or theft of property, economic loss, or any other damage, loss, or cost.

In making the General Release set forth herein, I understand that as a volunteer on a medical or surgical mission organized by Operation International, I may travel to areas of the world with sub-standard living conditions which may contribute to sickness, injury or loss of life. I also understand that the circumstances in the countries to which I may travel may increase the risk to me of criminal acts by third parties, including kidnapping or assault and war or armed aggression. In the case of illness or injury, I also authorize Operation International to arrange for medical care and treatment, including emergency surgery or hospitalization, at my cost and expense.

I hereby represent to Operation International that I know of no illness or other medical condition of my own that could interfere with my ability to undertake the volunteer assignments contemplated herein. If I become aware of any such illness or other medical condition I will inform Operation International before undertaking a volunteer assignment.

I understand and agree that it is my responsibility to identify and obtain the required or appropriate visas, immunizations, vaccinations and medications for the countries to be visited during any medical or surgical mission in which I participate.

COVID-19 Acknowledgment and Consent Rider

Volunteers will be asked to consent to the following:

• All volunteers are required to be fully vaccinated against COVID no later than 4 weeks prior to the team’s departure date.
• All team members and volunteers shall obtain a negative COVID PCR test within 72 hours of the time and date of their arrival to the host country. Test result will be shared with team leader promptly upon the result is available to the team member.
• All clinical team members are required to be Fit-tested with N95 masks at their place of employment, and must carry and utilize their masks during the entire period of the mission. Team members will be reimbursed by Operation International for the cost of purchasing N95 masks if they submit receipts to their team leader.
• All clinical team members are required to utilize PPE during patients’ contact in the same manner they do at their place of employment.

I understand and agree that it is my responsibility to identify and obtain the required or appropriate visas, immunizations, vaccinations and medications for the countries to be visited during any medical or surgical mission in which I participate.

This document shall be construed under the laws of the state of New York. If a dispute should arise with respect to the meaning of any of the terms of this document, the rule of construction that a document is construed against the party preparing such document shall specifically not be applicable to the interpretation of this document.

This General Release represents the entire agreement of the parties hereto and supersedes any and all prior or contemporaneous oral or written understandings, statements, representation, or promises. All of the terms hereof are contractual and not mere recitals. Any determination that a provision hereof is invalid or unenforceable shall not affect the remaining provisions hereof which shall continue in full force and effect.

I acknowledge that I have carefully read this General Release, know and understand the contents thereof, and that this document was freely and voluntarily executed. I acknowledge that I was given the opportunity to seek independent legal counsel on any and all matters herein before I signed this General Release.