Volunteer Application

Paws and a Purpose

Volunteer Application, Waiver, Release of Liability & Indemnification Agreement
Volunteer Role that would interest me most
What interests do you have? How would you like to help?
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Age: (Minimum age 18 unless accompanied by adult)
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Emergency Contact Name:
Emergency Contact Phone:
Please enter a valid phone number.Format: (000) 000-0000.
Photo and/or Media Release (Mark One):
By Submitting volunteer applciation you acknowledge the following:

ACKNOWLEDGMENT OF RISK: I understand and acknowledge that volunteering with Paws and a Purpose involves inherent risks,including but not limited to animal bites or scratches, allergic reactions, slips or falls, exposure toanimal-related illnesses, and emotional distress. I acknowledge that senior dogs may exhibit unpredictable behavior due to age, fear, pain, or medical conditions.

ASSUMPTION OF RISK: I voluntarily assume all known and unknown risks, including but not limited to those stated in acknolwledgement of risk above, associated with my participation in volunteer activities with Paws and a Purpose Rescue whether occurring on or off rescue property.

RELEASE AND WAIVER OF LIABILITY: On behalf of myself, my personal representatives, executors, administrators, and heirs, I hereby release, waive, discharge, and hold harmless Paws and a Purpose its founders, officers, directors, employees, volunteers, agents, and representatives from any and all claims, damages, injuries, losses, or liabilities of any kind, including those arising from negligence, related to my participationin volunteer activities.

INDEMNIFICATION: I agree to indemnify, defend, and hold harmless Paws and a Purpose from and against any claims, demands, actions, or causes of action arising out of or related to my participation in volunteer activities.

MEDICAL TREATMENT AUTHORIZATION: I authorize Paws and a Purpose to obtain emergency medical care for me if necessary. I understand that all medical expenses incurred are my sole responsibility.

BEHAVIOR & REMOVAL: Paws and a Purpose reserves the right to immediately remove any volunteer for unsafe, disrespectful, or inappropriate behavior, without warning and without obligation to award volunteer hours.

NO GUARANTEE OF HOURS: Volunteer hours are not guaranteed and may be withheld at the sole discretion of Paws and a Purpose.
ACKNOWLEDGMENT & SIGNATURE. I have read all paragraphs of this document and fully understand its terms and conditions in this volunteer waiver/release agreement.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Hour MinutesAM/PM Option
Should be Empty:

Paws and a Purpose