RESTRICTED

STAFF – IN – CONFIDENCE

To: Heartware Network

UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT FORM

(To be completed by ALL volunteers)

Undertaking
I hereby undertake to comply with all of the conditions, guidelines and regulations as set out by Heartware Network,
the sponsors, the various co-organisers and volunteer leaders.

I hereby undertake to attend all the training sessions as stated in the factsheet attached and understand that I shall
not be eligible for the full benefits should I be absent for more than one training session and/or one stated session
without valid reasons**.

Acknowledgement of Risks

I ____________________________________________________, holder of partial *NRIC/Passport No.

________________________ (please provide only last 3 digits and alphabet), am fully aware that my participation in
“River Hongbao 2024 – General Volunteers” and all related activities from the date, 6th January 2024 to 18th
February 2024 (inclusive) involves certain amount of risk(s).

I acknowledge that I am voluntarily participating in this event and its related trainings and activities and with knowledge
of such possible risk(s).

I hereby undertake that I shall not hold the event organisers, their sponsors and their respective officers,
representatives, employees, volunteers and agents for any loss or damage or any injury which may be sustained by
me (including loss of life) during the event or arising from any cause in connection with the event howsoever the same
may be caused. However, the organiser shall, to the best of its ability, take precaution and put in place safety
measures to avoid such occurrences.

I accept that all media (including photographs, video clippings or any form of audio-visual recordings) taken of me
during the event is the property of the event organisers and may be used in their publication (including website,
Facebook, annual report, brochures, video, newspapers, TV news, etc).

I further declare and confirm that I have read and fully understood all the sections in this form including the
preceding acknowledgement and undertaking and all the information provided herein are true.

Name of Participant Signature of Participant Date

* Please delete where appropriate.
** All excuses must be accompanied by an official MC or excuse letter. Heartware Network reserves the right to decide the validity of the reasons
provided.

Volunteers
STAFF – IN – CONFIDENCE
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 RESTRICTED
STAFF – IN – CONFIDENCE

CONSENT FORM
(To be completed by parent or legal guardian of participant under 21 years)

Consent

I ____________________________________________________, holder of partial *NRIC/Passport No.

________________________ (please provide only last 3 digits and alphabet), give consent for my *child/ward, holder
of partial *NRIC/Passport No. ________________________ (please provide only last 3 digits and alphabet) to attend
the event, “River Hongbao 2024 – General Volunteers” and all related activities from the date, 6th January 2024
to 18th February 2024 (inclusive) involves certain amount of risk(s).

I am aware that my child’s/ward’s participation in the event involves certain amount of risk(s). I acknowledge that I
am allowing my child/ward to participate in the event voluntarily and with the informed knowledge that there are risks
involved.

I understand that he/she will have to co-operate fully with Heartware Network, sponsors, organisers and leaders of
the event and comply with conditions, guidelines and regulations as set out by the event organisers and team leaders.

I hereby undertake that I shall not hold the organisers, their sponsors and their respective officers, representatives,
employees, volunteers and agents for any loss or damage or any injury or illness which may be sustained by my
*child/ward (including loss of life) arising from any cause in connection with the event howsoever the same may be
caused. The organiser shall, to the best of its ability, take precaution and put in place safety measures to avoid such
occurrences.

I accept that all media (including photographs, video clippings or any form of audio-visual recordings) taken of my
*child/ward during the event is the property of the event organisers and may be used in their publication (including
website, Facebook, annual report, brochures, video, newspapers, TV news, etc).

I fully declare and confirm that I have read and fully understand all the sections in this event consent form
including the preceding acknowledgements and undertaking and ensure that my child/ward fully
understands the same and that all the information provided herein are true.

Name of *Parent / Guardian Signature of *Parent / Guardian Date

* Please delete where appropriate.

Volunteers
STAFF – IN – CONFIDENCE
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