Volunteer Waiver
Would You Like to Volunteer at the Dallas Depot?
The MNA Dallas Depot is staffed by volunteers working under the supervision of trained leaders.
On Monday through Wednesday, from 10:00 am to 3:00 pm, we welcome adults (ages 18+) that would like to serve.
On Saturday, 8:00 am to 2:00 pm we welcome adults and groups that include youth (under 18). We require a 5:1 youth to adult ratio.
We can accommodate groups of up to 15 individuals.
Dates to serve are available on a ‘first-come, first-served’ basis. Contact Arklie Hooten at ahooten@pcanet.org to see if your desired dates are available. See information on shifts below.
For Individuals and Team Leaders
Download the two-sided Volunteer Waiver Form and print a copy (1 double-sided page) for each member of the team. Bring the completed forms with you to the Dallas Depot on your scheduled work day.
Volunteer Waiver Form
(Remember to use two-sided printing)
Shifts Available
Monday – Wednesday will be: 10:00 am to noon & 1:00 pm to 3:00 pm
Note: You can choose to work All Day (10:00 am – 3:00 pm) – Bring your lunch with you – lunch break at noon
Saturday will be: 9:00 am to 11:30 & 12:30 pm to 3:00 pm
Note: You can choose to work All Day (9:00 am – 3:00 pm) – Bring your lunch with you – lunch break at 11:30
Copy of the Volunteer Waiver Form…
Mission to North America (MNA)/Presbyterian Church in America (PCA)
North TX Presbytery and all member churches of North TX Presbytery (NTP)
VOLUNTEER WAIVER, Release and Indemnity Agreement
I HEREBY acknowledge that I am willingly and voluntarily entering into a ministry venture with other volunteers, both skilled and unskilled, for the purpose of assisting people in a ministry context. I represent that I am acting in a strictly volunteer capacity and that I am paying my own expenses and providing my own insurance.
I understand and acknowledge that the work I will be involved in may at times be hazardous and I assume all risks associated with my involvement in this effort. I further acknowledge that accidents may occur on or around the work site and traveling to and from said site, involving motor vehicles, or tools and equipment. I understand that any motor vehicle in which I may be transported will be operated by licensed drivers, who may or may not be professional drivers.
I therefore waive, release, agree to indemnify and hold harmless Mission to North America (MNA), the Presbyterian Church in America (PCA), North TX Presbytery and all member churches of North TX Presbytery (NTP), their agents, employees, representatives, and volunteers with whom I may be working from any and all liability claims, injuries, damages, losses, expenses of attorneys fees, actions or causes of actions which I have or may hereafter discover as a result of my participation in this ministry effort. I further waive/release, indemnify and hold harmless all parties herein and above mentioned from any claim, action, cause of action for damages, injuries or losses of any kind which my heirs, administrators, executors or assigns may attempt to assert on my behalf.
I further release all parties above mentioned for any losses or damage to vehicles, tools or equipment, which I may own and have used in connection with this ministry site. I understand that I am expected to provide my own insurance in case of accident, illness or injury and that MNA, the PCA, and NTP do not provide insurance for volunteers. If you need assistance with insurance options, please contact slanier@pcanet.org for some suggestions. Personal liability insurance is the responsibility of the volunteer. By my signature below I attest to the fact that I have adequate medical insurance for this trip.
I agree that I will not use my affiliation with MNA, the PCA, or NTP to further my own ‘for profit’ business or business venture. I will further allow MNA, the PCA, or NTP to use any photos taken of myself and, if applicable, my team for future publications.
Signed on this _______ day of _____________________, 20______ ____________________________________________ ____________________________________________ Volunteer worker’s signature Volunteer worker’s printed name
NOTARIZED SIGNATURE OF PARENT IS REQUIRED IF VOLUNTEER IS UNDER AGE 18
____________________________________________
Signature(s) of parent/guardian if volunteer is under age 18
STATE OF __________________________________, COUNTY OF __________________________________________________
On this, the _______ of _____________________, 20______, personally appeared before me _______________________________. To me known to be the person(s) described in and who executed the within and foregoing instrument, and acknowledged that he/she signed the same as his/her voluntary act and deed, for the uses and purposes therein mentioned.
Notary Public
In and of the State of
My commission expires