Volunteer Application Form

Name

First NameLast Name

Age

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Email Address

Phone Number

Area CodePhone Number

Do you own any pets?

List pet names, breeds, ages

Have they all had updated shots?

I am Volunteering to help Shelter Free Rescue NY with:(check all that apply)

Do you have any disabilities or health issues that will restrict you from performing an volunteer tasks?

If yes, please explain:

Have you volunteered with an animal rescue before?

Rescue Name

Rescue Phone Number

Area CodePhone Number

Rescue Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Details of work performed

Please provide the names, contact info, and relation to you for two references, and one Vet reference:

Signing this I acknowledge that I am applying as an At Will Volunteer with Shelter Free Rescue NY and am willing to help with any of the above listed positions. I understand that I am Liable for my actions while volunteering as a representative for Shelter Free Rescue NY, working with dogs and visiting potential Adoptee and Foster homes.

Date

In consideration of receiving any [organization name] foster animal, I, as a foster caregiver, herby release [organization name], its officers, agents and employees from all claims of injury or damage that a fostered dog/cat/other may cause me or my property. I agree to hold harmless, defend and indemnify [organization name], it's officers, agents and employees from any and all claims of liability to other people for injuries.