860 Marietta Blvd NWAtlanta, GA 30318
I (print full name) blanks HAVE READ AND FULLY UNDERSTAND THE TERMS AND CONDITIONS OF THIS COMMUNITY SERVICE AGREEMENT, AND I WILLINGLY COMPLY WITH ALL OF THESE CONDITIONS.
I agree that I am older than 18 years of age. I agree to abide by all guidelines, policies and procedures of the Community Service Program. I agree to be supervised by LifeLine Animal Project 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 community service 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 Fulton County Animal Services (FCAS) and LifeLine Animal Project (LifeLine).
I understand that I may be exposed to animals while providing my court-ordered community service for FCAS and LifeLine and therefore there exists a risk for personal injury. On behalf of myself, my heirs, personal representatives and executor, I release, discharge, indemnify and hold harmless FCAS and LifeLine, its agents, servants and employees from any and all claims, causes of action or demands of any nature or cause connected with my community service at the FCAS shelter or elsewhere. This includes any costs, attorney's fees and court costs in connection with my community service based on damages or injuries which I may incur in any way while performing community service at FCAS or at another location. Such damages are not limited to but may include animal bites, accidents, injuries and personal property damage.
I agree to release, discharge, indemnify and hold FCAS and LifeLine harmless for any and all damage to my personal property while providing community service to FCAS and LifeLine, its agents, servants and employees.
In connection with my activities as a FCAS/LifeLine community service worker, I further agree to release, hold harmless, and indemnify FCAS and LifeLine, its officers, Superiors, employees, and agents from any and all claims, damages, and liability arising from my driving or riding as a passenger while performing community service or while in any motor vehicle owned, operated or leased by LifeLine, its officers, Superiors, employees, volunteers and agents.
I understand that public relations are an important aspect of community service work at FCAS and LifeLine. I, therefore, agree on behalf of myself, my heirs, personal representatives, and executors to allow FCAS and 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.
Signing-Up for CSW Shifts:
Working Scheduled Shifts:
Completion of Total Needed Community Service Hours
LifeLine staff have permission to report anything regarding their locations CSW to the CSWs 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 email@example.com
LifeLine employees reserve the right to refuse anyone to participate 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.