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Boys & Girls Clubs of Albany
MENTORING DRUG TESTING CONSENT & RELEASE
I hereby consent to submit to urinalysis and/or other tests as shall be determined by Boys & Girls Clubs of Albany, Inc. in the selection process of applicants for volunteer work, for the purpose of determining the drug content thereof.
I agree that Doctors Laboratory my collect these specimens for these tests and may test them or forward them to a testing laboratory designated by the company for analysis.
I further agree to and hereby authorize the release of the results of said tests to the company.
I understand that the current use of illegal drugs will preclude me from being a volunteer with this company.
I further agree to hold harmless the company and its agents (including the above named clinic) from any liability arising in whole or in part, out of the collection of specimens, testing, and use of the information from said testing in connection with the company’s consideration of my application.
I further agree that a reproduced copy of this consent and release form shall have the same force and effect as the original.
I have carefully read the foregoing and fully understand its contents; I acknowledge that my signing of this consent and release form is a voluntary act on my part and that I have not been coerced into signing this document by anyone.
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