Volunteer Application

Name*

Address*

City*

State*

Zip*

Phone*

Email*

example@example.com

How did you hear about HELP the Animals?

Emergency Contact*

Relationship*

Phone*

I would like to volunteer for (check all that apply)

I Will Volunteer

A few hours once in a whileA few hours a week regularlySeveral hours a week once a weekConsider me at your disposal!

Special Skills or Assets

Printed Name*

Date*

Date

I am applying to serve as a volunteer for HELP the Animals, Inc. (HELP I agree to abide by all rules and regulations regarding animal safety, personal safety, policies & procedures. I understand that HELP houses homeless animals, some of which may have varying levels of illness and/or aggression. I will not hold HELP liable for any damages or injury that may occur to me. will not hold HELP liable for any theft or damage to my personal property during my visit.

The undersigned, being of legal capacity, hereby voluntarily consents to the taking of photographs/video of my person and to the use of my photograph/video, likeness and/or name and personal story in conjunction with information about HELP. Consent, or denial of consent, will not affect eligibility for services rendered to me. The undersigned hereby forever releases HELP from any claims and waives any rights with respect to the use of my photograph, likeness, and/or name and personal story in connection with any publication, republication, distribution, broadcast, sale or other use for news, trade or publicity purposes.

Signature*

Parent/Guardian Signature (if required)

HELP the Animals, Inc. / 2101 West Main Street / Richmond, IN 47374 / helptheanimalsinc.com / (765)962-6811