Volunteer Application

Volunteer Application
Date*

MonthDayYear
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Age*
Must be at least 16 years old
Parent/Guardian if under 18

First NameLast Name
Email*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Have you been around a dog that has been diagnosed with Parvo or distemper in the last 3 weeks?*

YesNo
Do you have a puppy that is not fully vaccinated? (Less than 3 rounds of DPHP)*

YesNo

Availability - Volunteers needed anytime between 8am-8pm

Rows	Hours Available
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Duties I Am Willing to Perform

Note: There are 5 dog runs and 1 back dog run.
Check one or more*

Clean dog runs (spraying down with bleach, rinsing soiled areas, cleaning bowls, replacing blankets, etc)Clean 'she shed' (sweeping, mopping, wiping down work surfaces, etc)Clean back dog run (picking up poop, refill water bowls, etc)Do laundry (washer and dryer in 'she shed')Clean up poop around the groundsWalk dog(s) on grounds of Moseleys' Mutt OasisAssist in taking dog(s) to pet friendly stores to socializeAssist in taking dog(s) to appointmentsAssist in training dog(s)Play and love on dog(s)Assist in health care of dog(s) (give vaccinations, give IV fluids, insert microchips, etc)Other
Previous Experiences/Dog Training

Volunteer Liability Waiver
I/we understand that all work performed with Moseleys’ Mutt Oasis Dog Rescue (MMO) is voluntary and at my/our own risk, and therefore, release MMO, its director(s), affiliate(s), and representative(s) of any and all public liability, property damages and/or medical costs incurred while I/we are providing volunteer services for MMO.

I/we do hereby on behalf of myself/ourselves, heirs, administrators and assigns, irrevocably and unconditionally release and agree to hold harmless MMO, its director(s), affiliate(s), and representative(s) from any and all known or unknown, anticipated or unanticipated, suspected or unsuspected and/or fixed, conditional or contingent actions, causes of action, charges, suits, debts, expenses, including and without limitation, attorney’s fees, or damages, including but not limited to any medical costs, damages of property, person(s),or other pet(s) of any kind, nature and description at law or in equity, in connection with or arising from my/our voluntary services performed with MMO.

Furthermore, MMO may excuse me/us from services at any time, for any reason at all, as my service is voluntary and subject to sole discretion of MMO.

By signing this document, I/we acknowledge that I/we have read and understand and agree to ALL of the provisions set forth in this contract and I/we further agree to abide by all of its terms and provisions, completely.
Name

First NameLast Name
Signature
Parent/Guardian if under 18

First NameLast Name
Signature*

Signature of parent/guardian if under 18
Should be Empty:

Volunteer Application

Duties I Am Willing to Perform

Volunteer Liability Waiver