First and Last Name:
*
D.O.B./Age
*
Street Address
*
City:
*
State:
*
Zip:
*
Home Phone:
*
Cell phone:
*
Email Address:
*
Allergies or physical restrictions:
*
How did you hear about Friends United in Rescue
*
Why do you want to volunteer at Friends United in Rescue
*
Please list any pets you currently own (or have owned in the past).
*
Volunteer Work Preferences: (check all that apply)
*
Pet Transport
Dog Walking
Special Events
Educational Programs
Community Outreach
Other
When are you available to volunteer? (check all that apply)
*
Weekdays
Weekends
Would you be willing to volunteer at events?
*
Yes
No
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 Friends United in Rescue (FUR). WHEREAS, the Volunteer has voluntarily contacted FUR and has expressed an interest in working with dogs in the care and custody of FUR. In consideration of FUR’s agreement to allow the volunteer to view and/or interact with such dogs, 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 dogs pose and have elected to view and/or interact with one or more dogs in the care of FUR voluntarily. The volunteer knowingly assumes all risks that exposure to dogs 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 AGAINT FUR, 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 dogs.
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 Friends United in Rescue.
*
Anything else you would like to say, please note it here:
Friends United in Rescue (FUR) Volunteer Form (not disaster rescue)
Submit Form
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform