Tiny Tigers Rescue Volunteer Application

Tiny Tigers Rescue

Volunteer Application
PERSONAL INFORMATION
Applicant Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Email Address:*

Confirmation Emailmyname@example.com
Primary Phone Number:*

Area CodePhone Number
Is this a cell phone?*

YesNo
Cell Phone Number (if applicable):

Area CodePhone Number
Driver's License Number:
Driver's License Expiration Date:

MonthDayYear
Date
Driver's License State:

Street Address

Street Address Line 2

CityState

Zip Code
Date of Birth:*

MonthDayYear
Date

VOLUNTEER ACKNOWLEDGEMENT
I am aware of the nature of the activities to be performed by me as a volunteer and recognize that in handling animals and performing other volunteer tasks, a risk of harm, injury, illness and disease exists, up to and including physical harm, illness or disease caused by animals. I agree that all volunteer activities are performed by me at my risk and I assume full responsibility, therefore:
- * I am aware of the specific potential risk of handling cats that come from feral or unknown backgrounds. Although not limited to, I have specifically been made aware of potential cat scratches and cat bites and of the potential risk of harm, injury, illness, and disease that may occur due to cat scratches or bites. I understand that all medical or any other expenses will be my responsibility. I understand any loss of income related to harm, injury, illness, or disease associated with my volunteer work is my responsibility.
- * I understand that public relations are an important part of volunteering with Tiny Tigers Rescue. I consent and authorize Tiny Tigers Rescue to use any photographs taken of me for public relations purposes.
- * On behalf of myself, my heirs and personal representatives, I agree not to hold or attempt to hold Tiny Tigers Rescue responsible for any injury or damage sustained or incurred by me arising out of, or in any way connected with my activities as a volunteer for the Tiny Tigers Rescue and hereby release and discharge Tiny Tigers Rescue from any and all claims, demands, causes of actions of any nature or cause, for any such injury or damage incurred or suffered by me.
SIGNATURE
Signature:*

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Date:*

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Type your full name:*
Verification that you are human*
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