I agree that I am at least 18 years of age. I agree to abide by all guidelines, policies and procedures of the Community Service Work Program ("Program"). I agree to be supervised by DeKalb County Animal Services ("DCAS") and/or LifeLine Animal Project ("LifeLine") staff and will report directly to the Volunteer Coordinator or my respective shift supervisor. If I fail to abide by the terms of this agreement or am otherwise unable to meet the Program requirements, I may be terminated from the Program. I understand that I may, at any time with or without cause, be removed from my position as a court-ordered community service worker at the sole discretion of DCAS and/or LifeLine.
I understand that I may be exposed to animals while providing my court-ordered community service for DCAS and/or LifeLine and therefore there exists a risk for personal injury. On behalf of myself and my heirs, personal representatives and executor, I release, discharge, indemnify and hold harmless DCAS and LifeLine and their officers, agents, volunteers and employees from any and all claims, damages, liabilities, causes of action or demands of any nature or cause connected with my community service at the DeKalb County Animal Shelter or elsewhere. This includes any costs, attorney's fees and court costs incurred by DCAS and/or LifeLine or their officers, agents, volunteers, and employees in connection with my community service based on damages or injuries which I may incur in any way while performing community service at DCAS or at another location. Such damages are not limited to but may include animal bites, accidents, injuries and personal property damage.
I agree, on behalf of myself and my heirs, personal representatives and executor, to release, discharge, indemnify and hold harmless DCAS, LifeLine, and their officers, volunteers, employees, and agents from any and alll damage to or loss of my personal property while providing community service to DCAS.
In connection with my activities as a DCAS and LifeLine community service worker, I further agree to release, discharge, hold harmless, and indemnify DCAS, LifeLine, and their officers, volunteers, employees, and agents from any and all claims, damages, liabilities, causes of action or demands of any nature or cause arising from my driving or riding as a passenger while performing community service or while in any motor vehicle owned, operated or leased by DCAS and/or LifeLine, their officers, employees, volunteers, and agents.
I understand that public relations are an important aspect of community service work at DCAS and LifeLine. I, therefore, agree on behalf of myself and my heirs, personal representatives and executors to allow LifeLine and its agents to use any photographs, video or film taken of me for use in any public relations efforts including brochures, newspaper articles, newsletters, Facebook, website, etc.
I , Please Type YourFull Name* HAVE READ AND FULLY UNDERSTAND THE TERMS AND CONDITIONS OF THIS COMMUNITY SERVICE AGREEMENT AND I WILLINGLY COMPLY WITH ALL OF ITS CONDITIONS.
Signing-Up for a CSW Shift:
Working Scheduled Shifts:
Completion of Total Needed Community Service Hours
DCAS and LifeLine staff have permission to report anything regarding their locations CSW to the CSW's respective judge, probation officer, etc. This can include verification of hours, behavior and performance while working, etc. Any such requests the CSW receives from their respective judge, probation officer, etc. should be emailed to firstname.lastname@example.org.
LifeLine employees reserve the right to refuse anyone's participation in the CSW program based on failure to meet any of the program requirements, as well as having a negative attitude or performance.
Please note: If a CSW wants to work at more than one LifeLine location, they must attend an orientation at each location where they plan to work. The CSW will have separate time cards, Letters of Completion, etc. for each location where they complete community service.
By signing below, you agree to the following community service work program rules, expectations, and thereby understand the reasons for potential termination.