Policy and Guidelines & Agreement

(On Duty Participation)

Completion of this form is required for all participants.

Policy and Guidelines

Employees in good standing are eligible to participate in the FoxGives program activities that

occur during working hours with the approval of their supervisor and an authorized HR

representative.

If applicable, hourly (i.e., non-exempt) employees must not miss rest or meal period breaks as a

result of engaging in the activity, nor may they participate for more than eight (8) total hours

unless prior written approval is obtained from their immediate supervisor. Employees must

accurately record the time spent participating in the activity on their timecards just as they would

if they reported to work and performed their regular duties.

Employees must abide by all Company policies while engaging in the activity. Any violation of

Company policies or other misconduct occurring during the activity may subject the employee to

discipline, up to and including termination. Unless otherwise required by law, employees will not

be reimbursed for any expenses incurred by them while participating in the activity.

Employee Agreement

I understand the nature of the activity in which I have signed up to participate through the

FoxGives program, as well as the risks associated with such participation, including – and

depending on the activity – the risk that I may suffer physical injuries.

I understand that workers’ compensation laws will apply to any injury sustained by me that

occurs while I am participating in the activity during my normal working hours; as such, I will be

eligible for workers’ compensation benefits under Company policies under such circumstances.

I further agree to promptly inform the Company’s workers’ compensation department and

complete all necessary documents in the event I am injured while participating.

I agree to abide by all Company policies while engaging in the activity, and will accurately

record the time I participate in the activity on my timecard just as I would if I had reported to

work and performed my regular duties.

Further, I hereby grant to Fox Group, 21st Century Fox and Twentieth Century Fox Film

Corporation (collectively "Fox") the right to use my name, likeness, and identity in connection

with my participation in the FoxGives activity (“Activity”) and any advertising or promotion of

the Activity. I agree that Fox shall have the unlimited right throughout the universe, in all media

and by all technology (now known or hereafter devised), in perpetuity, to advertise, promote,

publicize, distribute and exhibit the Activity or any part thereof.

I understand and agree that this Waiver and Release form supersedes any other agreements or

representations about the subject matter herein (whether such agreements or representations were

made orally or put in writing), and that the only manner by which I may revoke or otherwise

modify the waiver and release I am giving is through a writing signed by me delivered to an

authorized Company executive.

In case of an emergency, please contact:

__________________________ ______________________________

Name Contact Number

I have carefully read the above Policy and Guidelines & Agreement, fully understand its

contents, and voluntarily agree to all its terms and conditions.

Print Employee’s Name: ____________________________________

___________________________ ______________________________

Employee Signature Contact Number

___________________________ ______________________________

Employee’s Work Location Date

FoxGives Partner Organization

Organization Name: _________________________________________

Contact: _________________________ Phone: __________________________

Requested Dates(s)/Time(s):

On ___/___/___ from ___:___ to ___:___ On ___/___/___ from ___:___ to ___:___

Approvals

Print Name Sign Date

Supervisor: ___________________ ____________________ ____________

HR: ___________________ ____________________ ____________