Volunteer release form

Volunteer release form
In consideration of being permitted to participate in the volunteer program of the L.A Animal Shelter. I the undersigned agree to assume all risks of loss and injury, including death to myself, or damage to my property while on the premises of the L.A Animal Shelter and elsewhere while participating in the volunteer program, and hereby release and waive any right of action I may have had or may have in the future against the L.A Animal Shelter, and their heirs, assigns, servants, agents or volunteers for any such loss or injury, even though such loss or injury is caused by the negligence or default of the L.A Animal Shelter, its servants, agents or volunteers, whether acting in the scope of employment or not

we regret that we cannot accept volunteers under the age of 16, unless accompanied by an adult at all times.

[Parents or Guardians must sign for minors, which includes anyone less than 16 years of age]
Dated at Nappan, Nova Scotia, the blanks day of 20 blank .
Name

First NameLast Name
Signature

Clear
ADULT'S INFORMATION
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
May we contact you via email for any upcoming events and fundraisers?

YesNo
Would you like to receive our quarterly newsletter via email?

YesNo
Next of Kin
CHILD'S INFORMATION (IF APPLICABLE)
Name

First NameLast Name
Age
Grade
School
IN CASE OF EMERGENCY PLEASE CONTACT:
Name

First NameLast Name
Primary Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
VOLUNTEER INTEREST(S)
Would you be interested in participating in any of the following shelter activities:

Fostering DogsFostering CatsFundraisingSelling Raffle TicketsServing on community boardAssisting with our animal telethon
AVAILABILITY FOR VOLUNTEERING

Click day and time frame you are available to volunteer

	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
AM (9-12)
PM (1-4)

FOR YOUR PROTECTION it is recommended that all on-site volunteers get a tetanus immunization
Should be Empty:

Volunteer release form

ADULT'S INFORMATION

CHILD'S INFORMATION (IF APPLICABLE)

IN CASE OF EMERGENCY PLEASE CONTACT:

VOLUNTEER INTEREST(S)

AVAILABILITY FOR VOLUNTEERING