Waiver, Release, and Discharge of Liability

I, the undersigned, understand that the HELP program is run entirely by volunteers who take in donated hospital equipment from members of the community and provide it back to the public for re-use. Although these volunteers endeavor to provide equipment that works, I understand that they are not professionals and therefore cannot guarantee that this equipment will meet the needs of the equipment user named below.

If I am signing this waiver on behalf of the equipment user, I affirm that I am authorized to do so and that I am identifying the correct equipment user for this transaction.

In consideration of the free, voluntary and charitable goods and services provided by Cape Cod HELP, Inc. to the equipment user named below, I, on behalf of myself, the equipment user, and our personal representatives, heirs, legatees, devisees, successors and assigns ('Releasors'), understand that the equipment being provided free of charge has no warranties whatsoever, including the warranty of fitness for its particular purpose, and I hereby forever release and discharge Cape Cod HELP, Inc., the Grand Lodge of Masons in Massachusetts and all of the individual Masonic lodges located in Massachusetts, as well as their respective affiliates, employees, officers, directors, managers and volunteers ('Releasees'), from any and all claims for damages, losses, costs, personal injuries and wrongful death which are related in any way to the equipment which has been provided, including but not limited to any claims or causes of action for negligence and/or gross negligence by the Releasees.

I, on behalf of the Releasors, also agree to indemnify, defend and hold harmless the Releasees from and against all claims, demands, suits and causes of action of any kind and nature which are related in any way to the goods and services accepted from Cape Cod HELP, Inc.

I understand that, by signing this document, I am effectively waiving rights which the Releasors might have against the Releasees for recovery of damages sustained by the equipment user, by me, or by anyone else which are caused in whole or in part by the hospital equipment being supplied.

I further understand that this equipment is being borrowed exclusively for the personal use of the equipment user named above and that said equipment will be returned to Cape Cod HELP, Inc. at a future time when it is determined that the use of the equipment is no longer needed.