I certify that all statements on this application are true and correct. As a member/volunteer of JURA, I
agree to abide by the policies and procedures. I understand that I will be volunteering at my own risk and
that the organization, its employees and affiliates, cannot assume any responsibility for any liability for any
accident, injury or heath problem which my arise from any volunteer work I perform for the organization. I
hereby release and agree to hold harmless from liability JURA, their officers, employees and volunteers
thereof. I agree that all the work I do is on a volunteer basis.