Health Clinic Support

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Contact Information
Additional Information
Terms

I acknowledge by my signature below my voluntary participation in the activities of City on a Hill and give permission for my photograph/video images to be included in promotional materials used by the organization. I understand that City on a Hill's goal is to improve the lives of children and families in central city neighborhoods by providing holistic services based on Christian principles and values. I support their purpose and agree to honor the authority of the staff and those in leadership during my participation in program services and activities. I acknowledge that City on a Hill is a faith-based organization which adheres to Biblical principles and teachings. Although I may not personally agree with all their beliefs, I agree to neither act or speak in any manner that would contradict, misrepresent or violate their beliefs while volunteering.

Confidentiality
During the course of volunteering at City on a Hill, you may have access to confidential and sensitive information that may be disclosed about City on a Hill, our clients, our donors, and other stakeholders. By signing below, I agree to:

a) Keep all confidential information confidential.
b) Not disclose, share, or use confidential information for any other purpose than furthering the mission of City on a Hill.
c) Not copy or distribute any confidential materials without the written consent of the City on a Hill. 
d) Maintain the confidentiality of all sensitive information indefinitely, even after the conclusion of my voluntary service. 

Medical
In case of an emergency, I give City on a Hill representative(s) permission to render first aid and/or seek treatment for me in a medical care facility; I give the medical care provider permission to administer the necessary treatment and I accept full financial responsibility for any services rendered.

Hold Harmless
I hereby assume the ordinary risks incidental to the nature of the programs and activities in which I participate, including risks that are unforeseeable. I will hold harmless and indemnify City on a Hill, its directors, employees, agents and/or associates from any and all liability. I agree by my signature below that I will be responsible for any damage or loss to physical property or expenses incurred due to negligent or irresponsible behavior on my part.

Donated Goods Policy
City on a Hill's policies prohibit giving donated merchandise to volunteers or staff in exchange for labor or services rendered. Volunteers are not permitted to remove any materials or equipment from the premises of City on a Hill for personal use.