First and Last LEGAL Name:
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D.O.B./Age
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IF THE PERSON IS UNDER THE AGE OF 18. PARENTS SIGN HERE: By writing your name here, you are stating that you are the parent/guardian of the above applicant and you grant your permission for them to volunteer with Aint Much Acres INC.
Street Address
City:
State:
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Zip:
Phone Number:
Email Address:
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Allergies or physical restrictions:
How did you hear about Aint Much Acres?
Animal Experience: (check all that apply)
Veterinary Hospital
Boarding Facility
Foster Home
Animal Grooming
Animal chores
Shelter Work
Training/Obedience
Pet Sitting
Farm Animals
Other
Volunteer Work Preferences: (check all that apply)
Shelter cleaning (cat house)
Pet Transport
Social Media
Foster care (please fill out foster app)
Computer/Website
Special Events
Community Outreach
Other
In case of emergency, who should we contact? (name and phone #)
This volunteer agreement (“Agreement”) is entered into as of the date set forth below by AINT MUCH ACRES (AMA). WHEREAS, the Volunteer has voluntarily contacted AMA and has expressed an interest in working with animals in the care and custody of AMA. In consideration of AMA’s agreement to allow the volunteer to view and/or interact with such animals, the volunteer hereby, for his/her heirs, his/her personal representatives, and him/herself represent and warrant as follows: 1. The volunteer is fully aware of the risks that animals pose and have elected to view and/or interact with one or more animals in the care of AMA voluntarily. The volunteer knowingly assumes all risks that exposure to animals may pose, including but not limited to serious bodily injury and/or death. 2. THE VOLUNTEER HEREBY WAIVES, RELEASES DISCHARGES, HOLD HARMLESS, AND PROMISES TO INDEMNIFY AND NOT TO BRING SUIT AGAINST AMA, its directors, officers, volunteers, staff, and all other agents, and attorney for any of the referenced parties and any other parties acting for or on behalf of the referenced partied from an and all rights and claims which the volunteer has or which may hereafter accrue to the volunteer and from any and all damages which may be sustained by the volunteer directly or indirectly in connection with, or arising out of, the volunteer’s exposure to such animals.
By writing your name here, you are agreeing to the above liability waiver.
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Signature
Anything else you would like to say, please note it here:
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