VOLUNTEER APPLICATION
       
Your Name:
Phone#:

please enter as
954-555-5555
Email:
Date of Birth:
       
Address: City: Zip:
 
I am interested in: (Please select all that Apply)
         Other:
       
Do you have any experience in Dog Training? Bottle Feeding? Grant Writing?
If you answered yes to any of the above, please provide specifics:
     
Purpose for Volunteering:    
     
Do you currently own a dog or cat? Have you owned a dog or cat in the past?

If yes, please list Breed/mixes, Sexes and Ages:

VOLUNTEER AGREEMENT
In consideration of this opportunity to volunteer, I agree to the legally binding terms and conditions as follows:
1. I understand that the activity of working with rescued animals is hazardous and involves contact with animals that may be unpredictable and SSARF cannot be held liable for injuries or accidents that may occur as a result of working with the animals.
2. I assume the risks of being bitten, scratched, injured or frightened by cats, kittens, dogs and puppies, and any complications that may occur as a result, of my volunteer work for SSARF. I will not hold SSARF liable for any injuries, damages, losses, judgments, costs or expenses whatsoever, which I might suffer or sustain in connection with the performance of my volunteer activities.
3. I have accurately and truthfully completed this Volunteer Application and Agreement.
4. Any modification to this Agreement must be in writing and signed by both parties. This Agreement is binding upon SSARF, me and SSARF’s and my respective heirs, successors, assigns, executors and personal representatives.

PERMISSION AND RELEASE OF LIABILITY FOR VOLUNTEERS UNDER THE AGE OF 18
In consideration of SSARF offering this volunteer opportunity, I/We agree to thefollowing, intending to be legally bound:
1. My/our child(ren), or child(ren) under my/our guardianship, has enough experience with dogs and/or cats and is mature enough to volunteer with SSARF and to participate in activities with dogs/puppies of all sizes and/or cats and kittens.
2. Whenever my/our child(ren), or a child(ren) under my/our legal guardianship, participate(s) in SSARF activities, I/We hereby release and agree to indemnify, defend and hold harmless SSARF, its directors, officers, employees, agents and volunteers, and its and their heirs, successor, assigns and personal representatives, from and against liability for any injuries, damages, liabilities, losses, judgments, costs or expenses whatsoever (the “Losses”), which such child(ren) or any pet or other person might suffer or sustain, except any Losses which are the result of SSARF’s gross negligence or intentional misconduct.
3. I acknowledge that there are risks that the child(ren) could be bitten, scratched, injured or frightened by the dogs/puppies and/or cats/kittens and I/we assume such risks.
4. I understand and agree that the Rescue may refuse volunteer applications for any reason.
5. I have accurately and truthfully completed this Permission and Release Form.
6. This Permission and Release Form is binding upon me, my spouse, partner and my and his or hers respective heirs, successors, assigns, executors and personal representatives.

 

DIGITAL SIGNATURE
(IF UNDER 18: PARENT/GUARDIAN SPOUSE/PARTNER)

YOU WILL BE REQUIRED TO PROVIDE A PRINTED, AND SIGNED COPY OF THIS AGREEMENT.
Please print this page and keep handy for completed registration.

 
Thank you very much for taking the time to fill out this application, we care for our animals as we care for the people who will foster, adopt or volunteer with them.

We will review your application and call you soon.
  IMPORTANT NOTICE: Your contact persons for any questions or problems:
DADE: Regina Nicole Vlasek (786) 356-2116 regina@savingsagerescue.org
BROWARD: Kathy Bienek (954) 684-9464 kathyb@savingsagerescue.org
 
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APPLICANT AUTHORIZED REPRESENTATIVE FOR SSARF
(Office Use Only)