Volunteer Application
Caring Hearts Dog Rescue
First and Last Name:
D.O.B./Age
Street Address
City:
State:
Zip:
Home Phone:
Cell phone:
Email Address:
Allergies or physical restrictions:
How did you hear about Caring Hearts Dog Rescue?
Why do you want to volunteer at Caring Hearts Dog Rescue?
Do you work with any other rescue organizations?
Yes
No
If so, please give contact information for that organization including name and phone #:
If you would like to comment more on your experience with the above, please do so here:
When are you available to volunteer? (check all that apply)
Weekdays
Weekends
Reference #1 (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 Caring Hearts Dog Rescue (CHDG). WHEREAS, the Volunteer has voluntarily contacted CHDG and has expressed an interest in working with dogs in the care and custody of CHDG. In consideration of CHDG’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 CHDG 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 CHDG, 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.
Anything else you would like to say, please note it here:
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