Volunteer Application

Full Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone*

Email*

Emergency Contact Name:*

Emergency Contact Phone:*

Do you work in an animal related field?*

Yes
No

What is your occupation?*

Do you need court-appointed Community Service hours?*

Yes
No

How many Community Service hours do you need?

What is the reason for Community Service?*

What other humane societies/animal shelters have you volunteered with?

Please check any volunteer activities in which you are interested:

PetSmart Adoptions
Adoption Event Laundry
Animal Transport (18+)
Cat Care Room at PetSmart (18+)
Fundraising
Fostering Cats (18+)
Fostering Dogs (18+)
Phone/Administrative (18+)
Feral Cats - Trap Neuter Release (18+)

(All volunteers must be over 14 years old; however, some positions require different ages.)

Are you 18 years of age or older?*

Yes
No

If not, what date will you turn 18?

Confirmation*

Checking this box and typing my name in the space below (digital signature) indicates that I have read and completed this application fully and to the best of my knowledge and that all information I have provided is truthful and accurate.

Confirm.

Digital Signature (Full Name)*

Date*

Parent or Guardian Digital Signature

First Last

Date

Name (Digital Signature)

In consideration of this opportunity to volunteer, I agree to the following terms and conditions, intending to be legally bound by them: 1. I will abide by the rules and policies of the Fayette Humane Society ("FHS"). 2. If I stop being a volunteer for the FHS for any reasons, or upon the FHS's request at any time, I will promptly return all of the FHS's supplies, equipment, records, monies, and other items in good, clean condition. 3. I assume the risk of being bitten, scratched, injured, or frightened by kittens, cats, puppies, and dogs in connection with my volunteer work for the FHS. The FHS is not liable to me for any injuries, damages, liabilities, losses, judgments, costs or expenses whatsoever which I might suffer or sustain in connection with the performance of my volunteer activities for the FHS. 4. I will indemnify, defend and hold the FHS harmless from and against any claims, lawsuits, injuries, damages, losses, costs or expenses whatsoever, sustained by misconduct or grossly negligent performance of volunteer activities for the FHS, or my breach of the FHS's rules and policies. 5. I have read and agree to the PetSmart Guidelines and I will waive any and all claims against PetSmart and PetSmart Charities. 6. I am at least 18 years of age and will show an ID with my name, address, birthdate and photo.

Date

Parent/Guardian release for Minor Volunteers*

If the Volunteer is under the age of 18, his/her parent or guardian will be required to digitally sign this Release on the Volunteer's behalf. By digitally signing this Release, both parent/guardian and the Volunteer agree to the terms and conditions of this Release.

Parent/Guardian of

Date

Volunteer Application

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