First and Last Name:
Age
Street Address
City:
State:
Zip:
Cell phone:
Email Address:
Allergies or physical restrictions:
Why do you want to volunteer at Lifeline Dog Rescue?
Ways to help! Experience, Special Skills, Strengths, Talents: (check all that apply)
Social Media
Management
Networking
Photography
Writing
Secretarial
Fund-raising
Other
If you would like to comment more on your experience with the above, and other skills please do so here:
Volunteer Work Preferences: (check all that apply)
Dog Transport
Craft/Making items
Fostering (please fill out foster application)
Social Media
Special Events
Community Outreach
Online / social media fundraising
other
When are you available to volunteer? (check all that apply)
Weekdays
Weekends
Reference (Name, phone # and relationship to self)
Any additional comments:
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 Lifeline Dog Rescue, WHEREAS, the Volunteer has voluntarily contacted LDR and has expressed an interest in working with dogs, cats horses, wildlife or other animals in the care and custody of LDR. In consideration of LDR’s agreement to allow the volunteer to view and/or interact with such animals, 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 animals pose and have elected to view and/or interact with one or more in the care of LDR voluntarily. The volunteer knowingly assumes all risks that exposure to animals may pose, including but not limited to serious bodily injury and/or death. 2. THE VOLUNTEER HEREBY WAIVES, RELEASES, DISCHARGES, HOLDS HARMLESS, AND PROMISES TO INDEMNIFY AND NOT TO BRING SUIT AGAINT LDR, 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 animals.
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 Lifeline Dog Rescue.
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