Volunteer Application

Volunteer Application
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Other (cell)
Please enter a valid phone number.
Email*
example@example.com
Current Occupation*
How did you hear about MGPS?*
Have you ever owned a greyhound?*
What is your reason for wanting to volunteer?*
How long do you anticipate committing to MGPS as a volunteer?*
Please list any special skills or talents you have that may be of help to the organization: *
*Maine Greyhound Placement Service prefers a MINIMUM commitment of ONE scheduled visit per WEEK for EVERY volunteer
Weekly Volunteering Availability
Areas of Interest*

Fundraising / WritingTurnout: Care / Upkeep for Dog’s Daily ActivitiesDriver: Dog Hauler for New ArrivalsMedical: Clinical TechniciansYard Work: i.e. Raking, Mowing, ShovelingJack-of-All-Trades: i.e. Carpentry, Plumbing, Painting, MaintenanceMeet and GreetsOther
Other (Please describe)

Participants Release and Waiver of Liability
I, Full Name* , in consideration of my participation in the volunteer program of
Maine Greyhound Placement Service (MGPS), recognize and acknowledge that participation may require vigorous physical activity that may result in risks of bodily injury, both known and unknown, including but not limited to laceration, bruising, abrasions, infections, fracture of bone/s, wounds from bites, trauma leading to extensive healing and scarring. Further, I recognize and acknowledge that other risks include, but are not limited to tool injuries, contracting infectious and parasitic zoonotic diseases and rash, exposure to chemicals, potential for falls and being pushed down from contact with dogs.
I understand that the description of these risks is not complete and that other unknown or unanticipated risks may result in injury or even death. I agree to assume the responsibility for the risks herein and those risks not specifically identified. Participation in this program is voluntary; no one is forcing me to participate, and I elect to participate in spite of the risks set forward. I understand that proper clothing, footwear is required while volunteering at this shelter, closed toe footwear, hair is not flying loose, and clothing may be exposed to chemical bleaches.

I acknowledge and do hereby certify that I am in good physical health and have no illnesses, disabilities, injuries, nor physical conditions (cardiac, pulmonary, pregnancy, etc.) that would prevent or hinder my safe participation in any activities associated with the MGPS. I understand that it is my responsibility to notify MGPS if I am unwilling or think myself to be unable to complete a task for whatever reason.

I assume all risks associated with my participation at MGPS, and hereby release and hold harmless the organizations directors, officers, agents, employees and volunteers of MGPS, as well as the owners and agents of any properties involved with the work of MGPS, from any and all actions, causes of action, claims, demands, damages, costs, expenses, attorneys fees, compensation and all consequential or other damages now accrued or hereafter to accrue to or for my benefit.

I warrant that I am 18 years of age or older, and that I have read, fully understand and agree to the foregoing terms.
If I am not yet 18 my parent (guardian) Guardian Full Name, has read and fully
understands and agrees with terms set forth.
Signature*

Clear
Guardian Signature

Clear
Should be Empty: