Volunteer/Foster Animal Rescue Application Form

First and Last Name*

D.O.B./Age*

Street Address*

City*

State*

Zip*

Home Phone*

Work Phone

Cell phone

Email Address*

example@example.com

Employer/Job Title*

Do you have any allergies or physical restrictions?

How did you hear about Raise The Woof Nola and why do you want to volunteer/foster?

Do you work with any other rescue organizations? Please list names and contact information along with what you do for the organization.

Please list any pets you currently have:

Animal Experience: (Check all that apply)

If you would like to add any additional skills please let us know (ie. computer/website/phone calls/background checks)

Volunteer Work Preferences: (Check all that apply)

Volunteer GeneralFosterTransportOther

When are you available to volunteer? Please provide specific weekdays/times available.

What type of home do you live in?

HouseApartmentMobile HomeOther

Do you have a yard? If so, is it fenced? Please describe fencing or enclosure

Do you Rent/Own? If rent please provide landlord's contact information and pet policy.

Personal Reference #1 (Name, phone#, email address)

Personal Reference #2 (Name, phone#, email address)

Personal Reference #3 (Name, phone#, email address)

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 Raise The Woof Nola Dog Rescue. WHEREAS, the Volunteer has voluntarily contacted Raise The Woof Nola Dog Rescue and has expressed an interest in working with dogs in the care and custody of Raise The Woof Nola Dog Rescue. In consideration of Raise The Woof Nola Dog Rescue'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 has elected to view and/or interact with one or more dogs in the care of Raise The Woof Nola Dog Rescue 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 AGAINST Raise The Woof Nola Dog Rescue, 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 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 typing your name here, you are agreeing to the above liability waiver.*

By typing 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 Raise The Woof Nola Dog Rescue.

Anything else you would like to say, please note it here:

Additional comments for consideration

Signature

RAISE THE WOOF NOLA DOG RESCUE

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