I hereby declare , I am voluntarily offering my services for the Barsana Eye & Dental Camp to be held at Barsana, district of Mathura, UP organized by the Bhaktivedanta Hospital & Research Institute Conducted by *Shri Chaitanya Health & Care Trust, * Mumbai.

I undertake to attend all the necessary orientation programs conducted to understand the special circumstances of my allotted service & especially the possible Biohazards while working in medical service area. I take full responsibility for following all the protocols set forth for my safety.

Further that I will be attending the camp at my own responsibility. On occurrence of any untoward physical, mental, emotional or biohazardous trauma,

I shall not hold Bhaktivedanta Hospital & Research Institute or any of the organizers responsible, during the course of my service & stay at the Barsana Eye & Dental Camp 2024.