Second Chance Volunteer Application Form

Second Chance Volunteer Application Form

Those that are under 12 years of age will need to be accompanied by an adult
Volunteer Information
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
E-mail *
example@example.com
Telephone Number (Home) *

Area Code Phone Number
Telephone Number (Cell)

Area Code Phone Number
Telephone Number (Work)

Area Code Phone Number
Age if under 15:
I would like to work at the SHELTER (Please list what you would like or are able to do)
I would like to work at SECOND CHANCE TREASURES store (Please list what you would like or are able to do)
FUNDRAISING: Please mark off what you would like or are able to do:

Sell Tickets Mile of loonies BBQ/Dinners Needle Exchange Program K9 Rendezvous
Would you like to help develop new fundraising ideas?

Yes No
What's your availability to volunteer? *
Do you have dogs / cats in your home now? *

Yes No
Do you have any special skills? *
CHILDREN'S WAIVER
I, (Name of adult) Parent/Guardian of Child acknowledge that he/she will be performing volunteer services for Second Chance Pet Network (SCPN). I further understand that certain risks may be associated with such volunteer activities. In consideration of him/her being permitted to perform such volunteer services for SCPN, I voluntarily and knowingly sign this waiver with the express understanding of waiving all rights or causes of action involving, without limitation, bodily injury or property damage to Child while engaged, directly or indirectly, in such volunteer services whether caused by negligence of SCPN and its directors, agents and employees. Further, I shall indemnify, defend and hold harmless the SCPN and it's officers, directors, agents, and employees from and against any and all liability, damage, loss cost and expense incurred as a result of any claim, demand, or cause of action brought against SCPN, it's officers, agents, directors or employees, jointly or individually for bodily injury or property damage as a result of his/her negligence, recklessness, or willful action in the performance of the volunteer services or as a result of the failure to perform the volunteer services.

I have read, understand, and agree to the above liability waiver:
Signature

Clear
ADULTS WAIVER
I acknowledge that I will be performing volunteer services for Second Chance Pet Network. I further understand that certain risks may be associated with such volunteer activities. In consideration of being permitted to perform such volunteer services for SCPN, I voluntarily and knowingly sign this waiver with the express understanding of waiving all rights or causes of action involving, without limitation, bodily injury or property damage to myself while engaged, directly or indirectly, in such volunteer services whether caused by negligence of SCPN or its officers, directors, agents and employees.

I am 18 years of age or older.

Further, I shall indemnify, defend and hold harmless the SCPN and its officers, directors, agents and employees from and against any
and all liability, damage, loss cost and expense incurred as a result of any claim, demand, or cause of action brought against SCPN, its
officers, agents or employees jointly or individually for bodily injury or property damage suffered as a result of his/her negligence, reckless, or wilful action in the performance of the volunteer services or as a result of the failure to perform the volunteer services.

I have read, understand, and agree to the above liability waiver
Signature

Clear
NOTES FOR OFFICE USE:

*Revised May 28 2019
Should be Empty:

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Second Chance Volunteer Application Form

Volunteer Information