Volunteer

Name*

First Last

Address*

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

Phone*

Email*

By checking the following box, I am ackowledging that:*

I am at least 16 years of age.
I am under the age of 16 and understand I need a parent or guardian present while I volunteer.

By checking the following box, I am acknowledging that I have never been charged or convicted with animal cruelty or neglect.*

AGREE

Volunteer Profile

Please briefly describe any present or past volunteer work.

Please list any pets currently in your home. If none, write "N/A"*

Have you ever volunteered at any other animal shelter or humane society? If yes, please list.

Animal Experience (check all that apply):*

Veterinary
4H
Boarding Facility
Rescue/Fostering
Training/Obedience
Pet Sitting
Farm Animals
Grooming
Other

If you answered OTHER to the previous question, please briefly describe below:

Do you have any allergies or physical conditions that might affect your volunteer work?*

Yes
No

If you answered yes to the previous question, please briefly describe below:

Are you volunteering to fulfill court ordered community service requirements? **

Yes
No

Are you volunteering to fulfill community service requirement for graduation? **

Yes
No

Please check the duties you are interested in preforming:

Cleaning small animal environments
Cleaning large animal environments
Grounds clean up (litter pick-up, yard work, trimming shrubs/weeds, clearing walk ways)
General cleaning (washing walls, floors, etc.)
Off- site fundraisers or activities
Grant Writing (previous experience required)
Website Design

Please select which day(s) you'd be interested in volunteering:*

Select All
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Please list times BEFORE 5PM that you'd be willing to volunteer:*

REFERENCE 1*

Please list the name, number, and relationship of at least one reference

REFERENCE 2 (optional)

Please list the name, number, and relationship of at least one reference

How did you hear aboout us?*

Volunteer Acknowledgment

Check each box to confirm the acknowledgement of each statement.

I acknowledge that I must call to schedule an appointment to volunteer and walk-in volunteers are not accepted.*

Agree

I acknowledge that if I miss 2 scheduled appointments without 24 hrs. notice, I will be dismissed from the volunteer program without notice.*

Agree

I acknowledge that I am required to sign in at the beginning of each shift and sign out at the end of each volunteer shift.*

Agree

I acknowledge that I am here to complete the tasks assigned to me and failure to do so may result in my dismissal.*

Agree

I understand that if I exhibit behaviors considered by Rebel Rescue Ranch staff to be dangerous to myself, the animals, volunteers, employees or citizens that I will be asked to leave the premises without further notice.*

Agree

Liability Waiver and Release Agreement*

AGREE

In consideration of being permitted to participate as a volunteer, participant and/or attendee by Rebel Rescue Ranch, I hereby agree that I will assume full responsibility for the death, personal injury, or property damage suffered or sustained by me as a result of or in connection with my participation as a volunteer, participant and/or attendee. I agree, therefore, to indemnify Rebel Rescue Ranch from and against all damaged property suffered or sustained by me as direct or indirect result of my participation as a volunteer of my participation as a volunteer, participant, and/or attendee; even if such death, personal injury or property damage arise out of the negligence of Rebel Rescue Ranch. I further agree that I will not make any claims against, sue attack the property of or prosecute Rebel Rescue Ranch or any death, personal injury, or property damage, whatever the cause or place of the event giving rise to the claim, which I may suffer or sustain as a result of or in connection with my participation of as volunteer, participant, and/or attendee.

In addition, I hereby release and discharge Rebel Rescue Ranch from all actions, claims or demands that I now have or may hereafter have for any death, personal injury, or property damage arising out of or in connection with my being a volunteer, participant and/or attendee. This release of liability is intended to discharge in advance, Rebel Rescue Ranch from and against any and all liability to me or any person claiming under, through or on behalf or either of me arising out of or connected in anyway with my participations as a volunteer, participant, and/or attendee even though that liability may arise out of negligence on the part of Rebel Rescue Ranch.

I further understand that the behavior of animals is sometimes unpredictable and that some domestic animals are capable of inflicting serious personal injury or death, as well as extensive property damage. Knowing the risks of handling domestic animals; nevertheless, I hereby agree to assume those risks and to release, indemnify and hold harmless Rebel Rescue Ranch and persons mentioned above who might otherwise be liable for me for damages.

It is understood and agreed that this indemnity, waiver and release of liability is intended to be binding on me and my heirs, distributes, guardians, legal representatives or assigns.

By signing below, I am attesting that I have read this provision carefully and fully understand its contents. I am aware that this is an indemnity waiver and release of liability and a contract between Rebel Rescue Ranch and myself. I am signing at my own free will.

Date

Volunteer Profile

Volunteer Acknowledgment

About the Ranch

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