PetPromise Volunteer Application

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

Best Contact Number

Please enter a valid phone number.

Email

example@example.com

Birthdate

Date

Do you have a valid Driver's License and access to a vehicle?

YesNo

If employed, current employer:

List other organizations where you volunteer or volunteered in the past.

Please list any animals currently living in your household. For each one, list species, name, breed, age, and whether they are spayed or neutered.

Statement of and description of any prior criminal convictions or offenses

Would you be willing to foster?

YesNoMaybe, depending upon the circumstances.Yes, but only in an emergency.

How did you hear about PetPromise?

Which volunteering opportunities/committees are you intersted in:

Please list any other volunteering opportunities/committees not listed that you may be interested in or in developing:

Please list any skills, experience or talents that may be helpful to the organization (computer, animal training, administrative skills, public speaking, photography, etc.)

List an emergency contact including phone number and relationship to you.

As a Volunteer for PetPromise, I release and forever discharge and hold harmless PetPromise and assigns form any and all liability, claims, demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise for the services I, the volunteer provide to PetPromise . I understand and acknowledge that this Waiver and Release discharges PetPromise from and liability or claims that I may have against PetPromise with respect to bodily injury, illness, death, or property damage that may result from the services that I provide to PetPromise or occurring while I am providing volunteer services.

(2) Insurance: Further, I understand that PetPromise does NOT assume any responsibility for or obligation to provide me, the volunteer, with financial or other assistance, including but not limited to medical health or disability benefits or insurance of any nature in the event of such injury or medical expenses incurred by me.

(3) Medical Treatment: I hereby release and forever discharge PetPromise from any claim whatsoever which may arise or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with any emergency during my tenure as a volunteer with PetPromise.

(4) Assumption and Risk: I understand that the services that I provide to PetPromise may include activities that may be hazardous to me, including but not limited to any dog/cat related activities, such as walking, petting, and cleaning up after the animals. Also, bending and lifting of dog/cat kennels and PetPromise supplies and/or equipment. I hereby expressly assume the risk of injury or harm from these activities and release PetPromise from all liability for injury, illness, death or property damage resulting from the services that I provide as a volunteer or occurring while I am providing volunteer services at PetPromise.

(5) Photographic Release: I grant and convey to PetPromise all the right, title, and interests in any and all photographs, images, video, or audio recordings of me or my likeness or voice made by PetPromise in connection with my providing volunteer services to PetPromise.

(6) Animal Care: I understand that as a volunteer for PetPromise I will be working with animals that have been rescued and possibly/likely have abuse in their past. I understand that while volunteering I am not here as a hired trainer for these cats or dogs to rehabilitate and will not attempt to train nor correct any animal behavior I may encounter. I also understand that because I am working with likely abused dogs I will not raise my voice at the dogs for any reason. I understand that if I do any of these things I could be asked to leave the facility grounds.

(7) Dress Code and Professionalism: I understand that as a volunteer with PetPromise I am a representative of the organization. My personal appearance and dress will be clean, neat and professional at all times and good customer service will be employed at all times when speaking to potential adopters or the public in general.

(8) Other: As a volunteer/contractor, I expressly agree that this Waiver and Release is intended to be as broad and inclusive as permitted by the laws of the state of Ohio and that this Release shall be governed by and interpreted in accordance with the laws of the state of Ohio. I agree that in the event that any clause or provision of this Waiver and Release is deemed invalid, the enforceability of the remaining provisions of this release shall not be affected.

If under the age of 18 a parent or legal guardian sign this waiver on Minor's behalf before the Minor may participate in any activities at or for PetPromise. Include Name of Guardian (First & Last Name), Phone Number, and Relationship to Minor.

By electronically "signing" below, I certify that the information on the previous pages of this form is true and understand that false information may result in nullifying this application.

full name