Table One

“One Table. Everyone Eats.”

General  Information  (Please Print)

Name: ____________________ ____________________

Phone:   (_____) _____-___________    Email: ________________________________

Address: ________________________________ _____________ _____ __________

City State Zip ________________________________________________________

 Volunteer Waiver

I understand that my work is voluntary and that some risks may occur due to the nature of the work at Table One or at a Table One sponsored event. I understand and assume these risks and hereby release Table One and its officers, directors, employees, affiliates, or agents from any and all liability regarding the volunteer effort with Table One. I agree to save and hold each of them harmless from and against all claims, costs, expenses, demands, and actions with the volunteer effort.

 

Print Name                                                      Signature                                                         Date

________________________________________ _________________________________________

Health Policy Agreement

I understand that I must:

  1. Have read the Table One Volunteer Health Policy.
  2. Report when I have been exposed to any of the symptoms or illnesses listed in the Volunteer Health Policy before volunteering.
  3. Comply with volunteer restrictions and/or exclusions that are given to me.

 

Print Name                                          Signature                                             Date

________________________________________ _______________________________________

Code of Ethics Certificate

I acknowledge that I have received and read my personal copy of the Table One Code of Ethics. I understand that each Table One member of the Board of Directors, Staff, and Volunteers is responsible for adhering to the principles and standards of the Code of Ethics, and I confirm that I will conduct myself in accord with the principles and standards of the Code of Ethics.

 

Print Name                                          Signature                                                   Date

 

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