Volunteer Application

Volunteer Application
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Birthday

MonthDayYear
Date
Tell us about your past volunteer experience. Include where you volunteered, what your responsiblities were, and how long you were with the organization.
How much time would you like to spend volunteering at the shelter?
CleaningAdoption EventsSocialization of AnimalsAnything
Tell us about your experience level working with and caring for animals.
I am 18 yrs or older and capable of working independently or with the support of my designated support person (not a shelter employee) who will be present at all times.I am 16 or 17 years old - I understand parental consent and signature are required. I am capable of working independently or with the support of my designated support person (not a shelter employee) who will be present at all times.I am 15 yrs or younger - I understand I can only volunteer with a parent accompanying me. I understand drop offs are not allowed. (Parent must also fill out volunteer application.)
Emergency Contact Info
Name

First NameLast Name
Relationship
Daytime Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Evening Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I understand that I am required to report animal character traits to shelter staff as there are many compelling and obvious reasons why this information is important to shelter staff and prospective adoptive owners. I further understand that I am expected to maintain confidentiality to the events at the Shelter including but not limited to animal surrenders, redemptions, euthanasia decisions, discipline, etc. Failure on my part to comply with such policies and procedures and confidentiality may result in me being removed from volunteer service.
Applicant's Signature

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Parent signature and consent (for volunteers under 18 years of age)

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Date

MonthDayYear
Date

Waiver and Release
I, the undersigned, agree to forever release, waive, acquit, discharge and covenant to hold harmless the McDowell County Animal Shelter, the County of McDowell, it’s successors, officers, servants, agents, employees and volunteers from any and all claims, actions, causes of action, demands, losses, damages, liabilities, loss of services, expenses and compensation, on account of or in any way growing out of any and all known and unknown personal injuries or property damage which the undersigned may have now or hereafter resulting to or to result from the undersigned performing services for the McDowell County Animal Shelter, it’s officers, directors, employees or volunteers.

I recognize that there are risks inherent in handling animals and while performing other services for McDowell County Animal Shelter. Nevertheless, I hereby agree to assume those risks and to release and to hold harmless all of the agencies or persons mentioned, whether caused directly or indirectly by any negligence (active or passive) attributable to the McDowell County Animal Shelter, it’s officers, directors, employees or volunteers.

It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns.
Signature

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Witness Signature

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Date

MonthDayYear
Date
Should be Empty:

Volunteer Application

Emergency Contact Info

Waiver and Release