Volunteer Form

* Date:

* Name:

* Please check one:

* Student:

Yes

No

* If teen, your age: (Under 16, parent or legal guardian must accompany at all times).

* Occupation:

* Home street Address:

* City

* State & Zip

* Phone (primary)

* Phone (cell)

* e-mail:

* Emergency contact and phone number:

* Please tell us what experience you have had in working with animals.

* What days/hours would you like to volunteer?

* Do you prefer to work with:

CATS

DOGS

BOTH

In acting as a volunteer for Aide for Animals, I, the undersigned, hereby release Aide for Animals, its agents, officers, of and from any and all liability, claims, demands, actions and causes of actions whatsoever arising out of or retaining to any loss, damage, or injury that may be sustained by the undersigned or property of the undersigned. I hearby acknowledge the risk inherent in the handling of animals, domesticated or wild, and hereby willingly accept all such risks. This release and indemnity shall be binding upon the undersigned, his/her heirs, executors, administrators and assigns.

I agree to the conditions stated above

* Electronic Signature:

If you are a teenager, we require your parent's or guardian's signature also.

* Parent or Guardian signature:

* Parent or Guardian Phone number:

* Indicates Response Required