Employee Workshop Waiver

EMPLOYEE WORKSHOP WAIVER

Workshop Title:    Date(s):

Location:    Organizer:

Personal Information

Position Information

Emergency Contact / Medical

Do you have any medical conditions, allergies, or medications that event staff should be aware of?    Yes    No

Workshop Activities & Assumption of Risk

I acknowledge that the workshop activities may include interactive exercises, group activities, hands-on demonstrations, travel between locations, or other practical tasks that involve a risk of injury or property damage. I voluntarily agree to participate in the activities described for this workshop at my own risk.

Release, Waiver and Indemnification

In consideration of being permitted to participate in the workshop, to the fullest extent permitted by law, I hereby release, waive, discharge and covenant not to sue the Employer, its officers, directors, employees, agents, volunteers, affiliates and representatives (collectively Employer Parties) from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage or injury, including death, that may be sustained by me, or to any property belonging to me, arising out of or in connection with my participation in the workshop, whether caused by the negligence of the Employer Parties or otherwise.

I agree to indemnify and hold harmless the Employer Parties from any loss, liability, damage or costs, including reasonable attorneys' fees, they may incur due to my participation in the workshop, whether caused by my acts, omissions or negligence or the acts, omissions or negligence of third parties.

Medical Treatment Authorization

In the event of any injury or medical emergency, I authorize the Employer Parties to obtain medical treatment on my behalf and consent to emergency medical treatment as may be deemed necessary by medical personnel. I acknowledge that I am responsible for any medical expenses incurred as a result of such treatment unless otherwise provided by the Employer's policies.

Confidentiality; Intellectual Property; Materials

I understand that the workshop may include confidential or proprietary information. I agree not to disclose confidential materials shared by the Employer or other participants and to use such information only for legitimate business purposes. Any intellectual property created by me during the workshop that is related to the Employer's business shall be the exclusive property of the Employer to the extent provided by law or company policy.

Photo/Recording Release

I consent to the recording, photographing and videotaping of my image, voice and likeness in connection with the workshop. I grant to the Employer a perpetual, royalty-free, worldwide right to use such recordings for internal training, promotional and archival purposes.

Consent to Photo/Recording Release:    I CONSENT    I DO NOT CONSENT

Transportation and Personal Vehicle Use

If I elect to drive to workshop activities or use a personal vehicle for workshop business, I represent that I possess a valid driver's license and insurance coverage as required by law. I accept responsibility for my vehicle and agree to comply with all applicable traffic laws.

I will be transporting myself:    Yes    Use company-arranged transport    Other

Company Policies; At-Will and Equal Opportunity

My participation in this workshop is subject to the Employer's policies, including safety, conduct and confidentiality policies. Participation does not alter the employment relationship; employment remains at-will, which means either the employee or the Employer may terminate the employment relationship at any time, with or without cause or notice, unless otherwise agreed in a signed written contract.

The Employer is an equal opportunity organization. Decisions regarding employment and participation are made without regard to protected characteristics and in accordance with applicable law.

I acknowledge that I have read, understand, and agree to comply with applicable company policies while attending the workshop.    Acknowledged

Applicant Certification and Authorization

I certify that the information I have provided on this form is true and complete to the best of my knowledge. I authorize the Employer to verify any information provided, to contact my emergency contact and to obtain medical treatment in an emergency. I authorize the Employer to contact my prior employers and references for purposes related to my employment and participation in this workshop where permitted by law.

Employment History

Education

References

Severability; Governing Law

If any provision of this Waiver is held unenforceable, the remainder shall remain in full force and effect. This Waiver shall be governed by the laws of the jurisdiction where the Employer maintains its principal place of business, without regard to conflict of law principles.

Acknowledgment and Signature

By signing below, I acknowledge that I have read this Waiver in its entirety, understand its terms, and agree to be bound by them. I understand that this Waiver includes a release of liability and a promise not to sue the Employer Parties, and that I am signing it voluntarily.

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