Volunteer Application And Release
Must Luv Dogs Rescue
First and Last Name:
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D.O.B./Age
*
If under 18 yrs of age pls provide NAME & PH# of parent(s) or legal guardian
Street Address
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City:
State:
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Zip:
*
Mailing Address (if different from street)
Post office Box
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone:
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Email Address:
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Employer/Job Title if student please indicate school
Work Phone:
May we contact for reference:
Yes
No
N/A
If yes, please provide name and phone # of employer:
Why do you want to volunteer with Must Luv Dogs Rescue?
Will you be volunteering with a school or other group? If so please indicate name of group. (i.e. honor society, beta etc)
Do you work with any other rescue organizations?
Yes
No
If so, please give contact information for that organization including name and phone #:
Please list any pets you currently own (or have owned in the past).
Animal Experience: (check all that apply)
Veterinary Hospital
Boarding Facility
Foster Home
Dog Grooming
Cat Grooming
Shelter Work
Training/Obedience
Pet Sitting
Farm Animals
Other
If you would like to comment more on your experience with the above, please do so here:
If you listed other, please explain:
Other Experience, Special Skills, Strengths, Talents: (check all that apply)
Computers
Management
Crafts
Working w/children
Graphic Arts
Woodwork/Carpentry
Painting
Photography
Writing
Secretarial
Fund-raising
Public Speaking
Other
If you would like to comment more on your experience with the above, please do so here:
If you listed other, please explain:
Volunteer Work Preferences: (check all that apply)
Pet Transport
Dog Walking
Clerical/Office
Foster care (please fill out foster app)
Computer/Website
Special Events
Educational Programs
Community Outreach
Adoption events
Other
When are you available to volunteer? (check all that apply)
Weekdays
Weekends
Reference #1 (Name, phone # and relationship to self)
*
Reference #2 (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 Must Luv Dogs Rescue (MLDR). WHEREAS, the Volunteer has voluntarily contacted MLDR and has expressed an interest in working with dogs in the care and custody of MLDR. In consideration of MLDR's agreement to allow the volunteer to view and/or interact with such dogs, 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 dogs pose and have elected to view and/or interact with one or more dogs in the care of MLDR voluntarily. The volunteer knowingly assumes all risks that exposure to dogs may pose, including but not limited to serious bodily injury and/or death. 2. THE VOLUNTEER HEREBY WAIVES, RELEASES DISCHARGES, HOLD HARMLESS, AND PROMISES TO INDEMNIFY AND NOT TO BRING SUIT AGAINST MLDR, 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 parties from any 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 dogs. 3. The volunteer certifies that it has read & familiarized his/herself with MLDR's Volunteer policies and procedures and agrees to abide by them.
By writing your name here, you are agreeing to the above liability waiver. If volunteer is under the age of 18 this must also be signed by the minors parent or legal guardian as indicated below.
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Applicant
By writing your name here, you are stating that you are the parent or legal guardian of the above minor applicant and you grant your permission for your minor child to volunteer with Must Luv Dogs Rescue and agree with all terms & conditions in this release .
*
Parent or Legal Guardian
Anything else you would like to say, please note it here:
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