First and Last Name:
D.O.B./Age
Street Address
City:
State:
Zip:
Home Phone:
Work Phone:
Cell phone:
Email Address:
Employer/Job Title:
How did you hear about Cat Haven Rescue?
Why do you want to volunteer at Cat Haven Rescue?
Do you work with any other rescue organizations?
Yes
No
If so, please give contact information for that organization including name and phone #:
Please list any pets you currently own (or have owned in the past).
Animal Experience: (check all that apply)
Veterinary Hospital
Boarding Facility
Foster Home
Cat Grooming
Shelter Work
Pet Sitting
Farm Animals
Other
If you would like to comment more on your experience with the above, please do so here:
If you listed other, please explain:
Other Experience, Special Skills, Strengths, Talents: (check all that apply)
Computers
Management
Crafts
Working w/children
Graphic Arts
Woodwork/Carpentry
Painting
Photography
Writing
Secretarial
Fund-raising
Public Speaking
Other
If you would like to comment more on your experience with the above, please do so here:
If you listed other, please explain:
Volunteer Work Preferences: (check all that apply)
Kenneling
Pet Transport
Clerical/Office
Foster care
Computer/Website
Special Events
Educational Programs
Community Outreach
Feeding Colonies
TNR
Other
When are you available to volunteer? (check all that apply)
Weekdays
Weekends
Mornings
Afternoons
How often are you available to volunteer?
Weekly
Once a month
Every other week
Other
Please list specific days and times available:
In case of emergency, who should we contact? (name and phone #)
This volunteer agreement (“Agreement”) is entered into as of the date set forth below by Cat Haven Rescue. WHEREAS, the Volunteer has voluntarily contacted Cat Haven Rescue and has expressed an interest in working with cats in the care and custody of Cat Haven Rescue. In consideration of Cat Haven Rescue’s agreement to allow the volunteer to view and/or interact with such cats, the volunteer hereby, for his/her heirs, his/her personal representatives, and him/herself represent and warrant as follows: 1. The volunteer is fully aware of the risks that cats pose and have elected to view and/or interact with one or more cats in the care of Cat Haven Rescue voluntarily. The volunteer knowingly assumes all risks that exposure to cats may pose, including but not limited to serious bodily injury. 2. THE VOLUNTEER HEREBY WAIVES, RELEASES DISCHARGES, HOLD HARMLESS, AND PROMISES TO INDEMNIFY AND NOT TO BRING SUIT AGAINT Cat Haven Rescue, its 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 an and all 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 cats.
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/guardian of the above applicant and you grant your permission for them to volunteer with Cat Haven Rescue.
Anything else you would like to say, please note it here:
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