Volunteer and Visitor Waiver and Release of Liability
Thank you for choosing to volunteer/visit at Alex’s Safe Place. We are grateful for your support and commitment to helping animals and people heal together. To ensure the safety of all participants, please carefully read and sign the waiver below.
Name
First Name
Last Name
Date of Birth(if under 18)
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Assumption of Risk
I understand that volunteering at Alex’s Safe Place may involve working with or around animals, uneven terrain, outdoor environments, and physical activity. I understand that animals can behave unpredictably, and I accept any and all risks associated with volunteering, including but not limited to bites, scratches, falls, and allergic reactions.
Yes
No
N/A
I agree that my participation is voluntary, and I assume full responsibility for any injuries or damages that may occur as a result of my participation.
Yes
No
N/A
Medical Authorization
In the event of injury or illness, I authorize Alex’s Safe Place to seek emergency medical treatment on my behalf if I am unable to do so. I agree to be responsible for any costs associated with such treatment.
Yes
No
N/A
Release of Liability
I hereby release, waive, and hold harmless Alex’s Safe Place, its directors, staff, volunteers, and affiliates from any and all liability, claims, demands, or causes of action related to my participation as a volunteer.
Yes
No
N/A
Photo and Video Release
I grant permission for Alex’s Safe Place to take photographs and video recordings of me while volunteering. These may be used for promotional, fundraising, and social media purposes without compensation.
Yes
No
N/A
Youth Volunteers
(If applicable)
I am the parent/legal guardian of the minor named above. I consent to their participation and agree to the terms stated in this waiver on their behalf.
N/A
Yes
Signature
Date Signed
-
Month
-
Day
Year
Date
Parent/Guardian Signature(if under 18)
Date Signed
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: