First and Last Name:
D.O.B./Age
Street Address
City:
State:
Zip:
Home Phone:
Cell phone:
Email Address:
Allergies and Physical Restrictions
How did you hear about CATS-R-US.org?
Why do you want to volunteer at CATS-R-US.org?
Do you work with any other rescue organizations?
Yes
No
If so, please give contact information for that organization including name and phone #:
Please list any pets you currently own (or have owned in the past).
Animal Experience: (check all that apply)
Veterinary Hospital
Boarding Facility
Foster Home
Dog Grooming
Cat Grooming
Shelter Work
Training/Obedience
Pet Sitting
Farm Animals
Other
If you would like to comment more on your experience with the above, please do so here:
If you listed other, please explain:
Other Experience, Special Skills, Strengths, Talents: (check all that apply)
Computers
Management
Crafts
Working w/children
Graphic Arts
Woodwork/Carpentry
Painting
Photography
Writing
Secretarial
Fund-raising
Public Speaking
Other
If you would like to comment more on your experience with the above, please do so here:
If you listed other, please explain:
Volunteer Work Preferences: (check all that apply)
Pet Transport
Foster Care
Adoption Events
Educational Programs
Community Outreach
Fundraising
Other
When are you available to volunteer? (check all that apply)
Weekdays
Weekends
Would you be willing to volunteer at the primary foster site?
Yes
No
Reference #1 (Name, phone # and relationship to self)
Reference #2 (Name, phone # and relationship to self)
Reference #3 (Name, phone # and relationship to self)
Any additional comments:
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 CATS-R-US.org. WHEREAS, the Volunteer has voluntarily contacted CATS-R-US.org and has expressed an interest in working with cats and kittens in the care and custody of CATS-R-US.org. In consideration of CATS-R-US.org's agreement to allow the volunteer to care for and/or interact with such cats or kittens, 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 cats or kittens may pose and have elected to care for and/or interact with one or more cats or kittens in the care of CATS-R-US.org voluntarily. The volunteer knowingly assumes all risks that exposure to cats or kittens may pose, including but not limited to bodily injury and property damage. 2. THE VOLUNTEER HEREBY WAIVES, RELEASES DISCHARGES, HOLD HARMLESS, AND PROMISES TO INDEMNIFY AND NOT TO BRING SUIT AGAINT CATS-R-US.org, its directors, officers, volunteers, 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 cats or kittens.
By writing your name here, you are agreeing to the above liability waiver.
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 The Last Resort Rescue.
Anything else you would like to say, please note it here:
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