• Image field 1
  • S-PCHS VOLUNTEER APPLICATION

  • APPLICATION DATE:
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • PREFERRED COMMUNICATION METHOD:
  • AGE RANGE:
  • Format: (000) 000-0000.
  • What areas are you interested in?
  • **Foster Program requires a separate application
  • Image field 16
  • VOLUNTEER WAIVER

  • RELEASE OF LIABILITY:

  • I recognize that working with animals' places me at physical risk, and I agree to assume that risk. I realize that, although the Somerset-Pulaski County Humane Society (S-PCHS) has taken all reasonable measures to protect me, accidents and injuries may still occur. Therefore, I hereby completely release and entirely discharge S-PCHS from any and all claims and causes of action of negligence or gross negligence that I or another might have or bring relating to of arising from any injury, disease, or damage that I should sustain while assisting S-PCHS, or in connection with my volunteer work for S-PCHS.


    I understand that the S-PCHS prefers, suggests and recommends that all fosters and volunteers have a current tetanus shot.

  • UNDERSTANDING AND ACCEPTANCE OF VOLUNTEER POLICIES:

  • I have read, understand and agree to the volunteer policies as set forth in the S-PCHS Volunteer Manual. I fully understand and agree that I am providing my service in a volunteer capacity without any expressed or implied promise of compensation. I agree to perform my volunteer duties to the best of my ability and to adhere to the policies entailed in the Volunteer Manual. I further understand that my volunteer involvement may be terminated for reasons including, but not limited to, those stated in the Volunteer Manual.

  • PHOTO RELEASE:

  • During my volunteer time with the S-PCHS I understand that my photo may be taken at various events and activities. By signing below, I also hereby grant the S-PCHS permission to use my likeness in photograph(s) and/or video(s) in any and all of its publications, on its website, or in media releases, whether now know or hereafter existing. I will make no monetary or other claim against the S-PCHS for the use of the photograph(s) and or video(s).

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: