Volunteer Application KHAR

Please complete the following volunteer application for Karma's Haven Animal Rescue Inc.

Name

First NameLast Name

Phone Number

Area CodePhone Number

street address:

City, State, Zip:

Email:

example@example.com

Birthday:

Employer/Job:

Allergies/Physical Restrictions:

Do you have any experience working with animals?

YesNo

If so, when and where?

Education background?

How did you hear about our organization?

Which areas are you interested in volunteering?

Why do you want to volunteer with Karma’s Haven Animal Rescue Inc.?

Do you work with any other rescue organizations?

yesno

If so, please give contact information for that organization. Including name & phone number

Animal Experience:

If you would like to comment more on your experience with the above, please do so here:

Other Experience, Special Skills, Strengths, Talents: (check all that apply

Volunteer Work Preferences: (check all that apply)

when are you available to volunteer? (check all that apply)

Reference #1 (Name, phone #, & relationship)

Reference #2 (Name, phone #, & relationship)

In case of emergency, who do we contact? (Name & phone #)

This volunteer agreement is entered into as of the date set forth by Karma's Haven Animal Rescue Inc. WHEREAS, the volunteer has voluntarily contacted KHAR and has expressed an interest in working with animals in the care and custody of KHAR. In consideration of KHAR's agreement to allow the volunteer to view and/or interact with such animal(s), the volunteer hereby, for his/her heirs, his/her personal representatives, and him/herself represent and warrent as follows:

1. The volunteer is fully aware of the risks that dogs/cats pose and have elected to view and/or interact with one or more animals in the care/custody of KHAR voluntarily. The volunteer knowingly assumes all risks that exposure to dogs/cats might pose, including but not limited to serious bodily injury and/or death.

2.The Volunteer hereby waives, releases discharges, hold harmless, and promises to indemnify and not bring suit againt KHAR, Its founders, directors, officers, volunteers, staff, and all other agents, and attorney for any of the referenced parties and any other parties acting for or on behalf of the referenced partied from and all the rights and claims which the volunteer has or which may hereafter accrue to the volunteer and from any and all damages which may be sustained by the volunteer directly or indirectly in connection with, or arising out of, the volunteer's exposure to such animal.

3.The volunteer agrees to return the animal (if walking or taking out to socialize) at the specific time KHAR requires the animal back.

By writing your name here, you are agreeing to the above liability waiver.

By writing your name here, you are stating that you are the parent/ legal guardian of the above applicant and you grant permission for them to volunteer with KHAR