Please print out this form and mail to:

Volunteer Coordinator
St. Hubert's Giralda
P.O. Box 159
Madison, NJ 07940

VOLUNTEER CONTRACT

I agree to abide by the policies and procedures of St. Hubert's Giralda.

In the event of an accident, injury or illness while carrying out my duties as a volunteer, I authorize St. Hubert's Giralda to obtain the necessary medical treatment.  I will not hold St. Hubert's Giralda responsible for any injury incurred in the process of fulfilling my volunteer duties.

I understand volunteers can be terminated without notice or without cause.  If I do not agree with the terms of this contract at any time, I may resign immediately and am not bound to volunteer any further.

It is strongly recommended that all volunteers have a tetanus vaccination prior to working at St. Hubert's Giralda.

I certify that I am at least 18 years of age.

_________________________________      _________________ (Signature)                                                        (Date)

_________________________________
(Please print name)

In the event of an emergency, please notify:

Name/Relationship________________________________________

Address________________________________________________

Telephone  home_______________  Business____________________

I am allergic to the following medications _______________________

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