SOP 502.01-att-9: Georgia Department of Corrections Recreation Program Visiting Volunteer Waiver of Liability
Summary
Key Topics
- volunteer waiver
- liability release
- recreation program volunteer
- background check
- criminal history disclosure
- parole probation status
- volunteer agreement
- inmate interaction
- risk acknowledgment
Full Text
SOP 502.01
Attachment 9
4/7//22
# Georgia Department of Corrections Recreation Program Visiting Volunteer Waiver of Liability
Name: ________________________________________________________________Date of Birth: ______________________
Address (Street): _________________________________________________________________________________________
City, State, Zip Code: _____________________________________________________________________________________
Telephone (Home: ________________________________________(Work): __________________________________________
Name of Group and Activity in Institution/Center: _______________________________________________________________
Date: Time In:
In consideration of having been accepted as a volunteer for the above listed activity, and with the knowledge that I will be working,
directly and indirectly, with offenders, I recognize fully that my presence may involve some element of risk.
I, the undersigned, do hereby waive and release any and all rights or claims of any kind or nature which may exist or accrue in the
future against the State of Georgia, the Georgia Department of Corrections, (Name of Institution/Center), its personnel, employees,
staff or agents because of, as a result of, or in connection with the duties, responsibilities and work which I will undertake.
In making this application, I hereby give the Georgia Department of Corrections authority to make inquires with police records as
may be deemed necessary to ascertain my suitability as a volunteer.
Signature of Volunteer Date Signed
Have you ever been convicted of a criminal offense? ___________ If yes, explain briefly: _______________________________
Are you currently on parole or probation? ______________ If yes, explain briefly: ____________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
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Retention Schedule: Upon completion, this form will be maintained at the participating facility for a period of six (6) months after
the visitation of the volunteer, then destroyed.