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COVID-19 Volunteer Agreement
Effective June 17th, 2020

One Bistro is doing everything we can to protect the public as well as our staff and volunteers. To this extent, we will be following the Center of Disease Control (CDC) and local health department guidelines regarding social distancing practices in order to reduce the spread of Novel Coronavirus, or COVID-19. We ask that you carefully read and agree to the following:

I,wishing to volunteer my time and services for One Bistro, hereby acknowledge that said organization is doing everything they can to protect the public as well myself as a volunteer. To this extent, I agree to follow the Center of Disease Control (CDC) and Greene County Health Department’s guidelines as well as One Bistro’s policies and procedures for social distancing to reduce the spread of Novel Coronavirus, or COVID-19.

I agree to have my temperature taken each day I volunteer and answer each screening question truthfully.

I agree to wear a surgical mask or an approved mask that covers the nose, mouth and chin to reduce the risk of exposure to myself and others. I agree to wash or sanitize my hands after using the restroom, sneezing, and coughing, and before eating or preparing meals or sundries for distribution, and will properly wear and utilize gloves when appropriate.

I attest that I have not traveled internationally in the past 14 days, nor traveled to a highly-impacted area within the United States in the past 14 days. I attest that I do not believe that I have been exposed to a person with a confirmed or suspected case of COVID-19. Lastly, I attest that I have not been diagnosed with COVID-19 and not yet cleared as non-contagious by state or local public health authorities.

I understand that there is no direct medical health coverage afforded to me during my relationship with One Bistro. One Bistro is not responsible for any potential exposure to Novel Coronavirus, or COVID-19, which is not a direct result of negligence on the part of their employees, volunteers, or the organization.

By signing below, I agree to comply with the written instructions above. Failure to comply with these written instructions or verbal instructions from staff will result in my volunteer privileges being removed and I will be asked to leave the premises.

Today's Date: April 19, 2025

First Volunteer's Name

First Name*

Last Name*
First Volunteer's Age Acknowledgment*
First Volunteer's Date of Birth*
I certify that I am 18 years of age or older
First Volunteer's Signature*
Second Volunteer's Name

First Name*

Last Name*
Second Volunteer's Date of Birth*
Third Volunteer's Name

First Name*

Last Name*
Third Volunteer's Date of Birth*
Fourth Volunteer's Name

First Name*

Last Name*
Fourth Volunteer's Date of Birth*
Fifth Volunteer's Name

First Name*

Last Name*
Fifth Volunteer's Date of Birth*
Sixth Volunteer's Name

First Name*

Last Name*
Sixth Volunteer's Date of Birth*
Seventh Volunteer's Name

First Name*

Last Name*
Seventh Volunteer's Date of Birth*
Eighth Volunteer's Name

First Name*

Last Name*
Eighth Volunteer's Date of Birth*
Ninth Volunteer's Name

First Name*

Last Name*
Ninth Volunteer's Date of Birth*
Tenth Volunteer's Name

First Name*

Last Name*
Tenth Volunteer's Date of Birth*
Parent or Guardian's Email Address

Email*
Check to receive information, news, and discounts by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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