I understand that volunteering with the Kokomo Humane Society may require me to come into contact with animals, and that there are risks associated with my volunteer activities, including but not limited to dog bites and/or scratches. I assume the risks and accept personal liability for any damages that might occur as a result of my volunteer activities.

I HEREBY IRREVOCABLY RELEASE THE KOKOMO HUMANE SOCIETY AND ITS OFFICERS, DIRECTORS, EMPLOYEES, AGENTS, AND VOLUNTEERS (collectively referred to as “Released Parties”) FROM ANY AND ALL CLAIMS I MAY HAVE, OR WHICH MAY HEREAFTER ACCRUE TO ME, AGAINST THE RELEASED PARTIES FOR PERSONAL INJURY, INCLUDING DEATH, AND ALL PROPERTY DAMAGE OR LOSS ARISING OUT OF MY VOLUNTEER ACTIVITY WITH THE KOKOMO HUMANE SOCIETY.

I hereby agree to indemnify, defend, and hold the Released Parties harmless from any and all liability, losses, damages, judgments, or expenses, including attorneys’ fees, that the Released Parties may sustain in connection with any third-party claims that arise out of my volunteer activities, whether such volunteer activities occur on Kokomo Humane Society premises, at my home, or elsewhere.

I UNDERSTAND THAT THE KOKOMO HUMANE SOCIETY DOES NOT ASSUME ANY RESPONSIBILITY FOR OR OBLIGATION TO PROVIDE FINANCIAL ASSISTANCE OR OTHER ASSISTANCE, INCLUDING BUT NOT LIMITED TO MEDICAL, HEALTH, OR DISABILITY INSURANCE OF ANY NATURE IN THE EVENT OF MY INJURY, ILLNESS, OR DEATH, OR DAMAGE TO OR LOSS OF MY PROPERTY. I UNDERSTAND THAT THE KOKOMO HUMANE SOCIETY DOES NOT PROVIDE WORKERS' COMPENSATION INSURANCE FOR VOLUNTEERS AND HEREBY EXPRESSLY WAIVE ANY CLAIM FOR COMPENSATION OR LIABILITY ON THE PART OF THE KOKOMO HUMANE SOCIETY IN THE EVENT OF ANY INJURY OR MEDICAL EXPENSE.

 I agree that if I volunteer to transport any Kokomo Humane Society animal(s) in my personal vehicle for any purpose, I will 1) maintain at least the state-required minimum amounts of automobile insurance on the vehicle, and 2) release, indemnify, and hold the Released Parties harmless from any claims arising from and/or related in any way to such animal’s presence in my vehicle.

I acknowledge and understand that I am a volunteer of the Kokomo Humane Society. I am not eligible for Kokomo Humane Society Workers’ Compensation or any other type of compensation or employee benefit in connection with my volunteer activities.

By using the Kokomo Humane Society’s tags or the #dogdayout hashtag in the images and other content I post on my social media accounts related to my volunteer activities, I hereby grant the Kokomo Humane Society a non-exclusive, worldwide, perpetual license to use, modify, publicly perform, publicly display, and reproduce my photographs, name, and likeness solely for marketing and promotional purposes.

I certify that I am 18 years of age or older. I have received and read Kokomo Humane Society’s current version of the Dog Day Out Manual and agree to abide by its requirements and guidelines. Further, I specifically agree to the following:

• To care for and treat humanely any dog provided to me.
• To keep a charged cell phone, the number of which the Kokomo Humane Society has, with me at all times.
• Not to introduce the dog to any other animals without prior approval of the Kokomo Humane Society’s authorized personnel.
• To keep the dog on a leash unless confined in my home or a securely fenced yard.
• To use reasonable care to ensure the safety and well-being of the dog in my care, the safety of other dogs, and the people the dog comes into contact with.
• To immediately contact the Kokomo Humane Society if the dog exhibits symptoms that indicate a serious condition. Please see the Dog Day Out Manual for examples of potential emergencies.
• To keep the dog under my direct supervision at all times during the volunteer activity.
• To immediately notify the Kokomo Humane Society in the event of a missing or injured dog, if the dog bites any person or animal, or any other injury or accident that I witness or experience resulting from my volunteer activities.
• That all dogs are the property of the Kokomo Humane Society and shall not be sold, given away, or adopted out without prior approval of Kokomo Humane Society authorized personnel.
  To provide the Kokomo Humane Society with any change of my personal information, such as name, address, or phone number.
• I understand that this Dog Day Out Volunteer Agreement and Release is binding on my heirs, assigns, and legal representatives. This Dog Day Out Volunteer Agreement and Release form is executed by me voluntarily and without reliance upon any representation by any person.

By signing below, I acknowledge and represent that I have read and understood the foregoing release, sign it voluntarily, and agree to the indemnity and waiver of liability above.