Badgerland Event Volunteer Registration Form

This form is required to be completed once per calendar year for any Badgerland Reptile Rescue volunteer or Board member who participates in public outreach events for the organization. Any questions or concerns can be directed to Sarah Grannis Stewart, Executive Director at Badgerland Reptile Rescue, at sarah@badgerlandrescue.com

Please enter your legal name:

First NameLast Name

If you prefer to use any other names (in-person or on social media), please enter those names here:

Email:

example@example.com

Phone Number:

Format: (000) 000-0000.

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Date of birth:

Date

T-Shirt Size (Adult Unisex Sizing)

*note: occasionally we are able to have shirts made for volunteers :) however, not all events will have t-shirts available, so please come dressed appropriately

What year are you submitting this form for?

Emergency Contact

First NameLast Name

Emergency Contact Phone Number

Format: (000) 000-0000.

Emergency Contact Relation

Ex: Spouse, Parent, Grandparent, etc.

Do you have a valid driver's license? *Please note: answering "No" does not automatically disqualify you as a volunteer!

Have you ever been convicted of or pled no contest or guilty to any crime(s) involving or against a minor?

If yes, describe in detail including type of offense, location and date.

Have you ever been convicted of or pled no contest or guilty to any crime(s) involving or against an animal?

If yes, describe in detail including type of offense, location and date.

Have you ever been charged, convicted of or pled no contest or guilty to any violent or felony crime(s)?

If yes, describe in detail including type of offense, location and date.

Do you have any criminal charges pending against you regarding any violent or felony crime(s)?

If yes, describe in detail including type of offense, location and date.

Please select the event locations you would tentatively like to volunteer for: (*specific event information & dates will be provided once available - you are not obligated to volunteer for anything selected, this is just to get a general idea of interest)

If you selected "Other" - please provide more information on your event suggestion!

We are ALWAYS open to new event suggestions!

Our organization frequently utilizes ambassadors and adoptable animals at public outreach events. Ambassador animals can be displayed in enclosures or allow for hands-on interaction with the public. Most of our ambassadors are kept at the primary Badgerland Reptile Rescue facility in Kenosha and brought to events. However, a few belong to our event volunteers or may be temporarily fostered by volunteers between events.

If you have an animal that you believe may be a good ambassador, please contact Sarah Grannis Stewart directly for details on the process. All animals must have been in the volunteer's possession for at least six months and display no signs of stress when handling or interacting with the public at events.

Additionally, if you are willing to act as a foster volunteer OR temporarily foster an ambassador animal between events, please contact Sarah Grannis Stewart.

While not required, please indicate the following, if applicable:

I will abide by the mission of Badgerland Reptile Rescue while I am volunteering at events. Additionally, I will not engage in any unsafe, illegal, or unethical activities whiles serving as a Badgerland Reptile Rescue volunteer.

I understand that volunteering at events with Badgerland Reptile Rescue will require me to come in contact with exotic animals, and that there are risks associated with my volunteer activities, including but not limited to animal bites and/or scratches. Exotic animals can be unpredictable in their behavior, as well as carry unknown diseases, which may or may not be communicable to humans. I agree to work with or around these animals and will not hold Badgerland Reptile Rescue responsible for any illness or contaminate if contracted. I assume the risks and accept personal liability for any damages that might occur as a result of my volunteer activities with Badgerland Reptile Rescue. I release Badgerland Reptile Rescue, its officers, directors, employees, agents, and volunteers (Released Parties), from any and all claims I may have, or which may hereafter accrue to me, against Released Parties for personal injury, including death, as well as all property damage or loss, arising out of my volunteer activity with Badgerland Reptile Rescue.

I agree that if I volunteer to transport any Badgerland Reptile Rescue 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 Badgerland Reptile Rescue harmless from any claims arising from and/or related in any way to any Badgerland Reptile Rescue animal’s presence in my vehicle.

I hereby agree that the photographs and/or video images taken of me and my pet (or foster animal) may be used in perpetuity by Badgerland Reptile Rescue for the purposes of publicity, education, fundraising, or otherwise promoting the mission and activities of Badgerland Reptile Rescue. I understand that I will receive no name recognition or monetary compensation for the use of said photograph(s) and/or video footage, to be used either in print or on the Badgerland Reptile Rescue website and/or social media and that this agreement will remain binding and have legal effect regardless of whether my association with Badgerland Reptile Rescue continues.

Due to the nature of this volunteer role where individuals regularly interact with the public, I give permission for Badgerland Reptile Rescue to conduct background check(s) on me now and as long as I continue to be active with the organization, which may include a review of sex offender registries and criminal background history records. I understand that my volunteer role is conditional upon the organization receiving no inappropriate information on my background. I hereby release and agree to hold harmless from liability, Badgerland Reptile Rescue, the officers, employees and volunteers thereof, or any other person or organization that may provide such information.

This form is only required to be completed once per calendar year. However, if there are any significant changes that occur during the calendar year once submitted, I will re-submit this form and notify Sarah Grannis Stewart directly.

By signing below, I certify that the above information is true and accurate to the best of my knowledge and I understand that my completion of this form in no way obligates Badgerland Reptile Rescue to allow me to volunteer.

Today's Date

Date

Event Volunteer Application and Agreement

Emergency Contact