NAME: _________________________________________ DOB (IF UNDER 18 YRS OLD): _____________

ADDRESS: __________________________________________ CITY / STATE: _______________________

CELL PHONE: ____________________________ EMAIL: _______________________________________

OCCUPATION: _________________________ EMPLOYER: _____________________________________

PRIOR VOLUNTEER EXPERIENCE:     YES / NO     IF YES, WHERE? __________________________________

TALENT/ TRAINING/ EDUCATION EXPERIENCE: _______________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

CHECK ALL AREAS OF WHICH YOU ARE INTERESTED IN VOLUNTEERING
__________ COORDINATING VOLUNTEERS
__________ EDUCATION PROGRAMS
__________ EVENT PLANNING
__________ FOSTERING HOMELESS
__________ LOW COST SPAY / NEUTER CLINICS
__________ OFF SITE ADOPTIONS
__________ FOOD PANTRY
__________ PHONE AND CLERICAL
__________ TRANSPORTING, MUST BE 18 AND OLDER
__________ WALKING / LOVING / CARING

Volunteers must be able to work weekdays during business hours, weekends if needed. Any special arrangements must be made with the site coordinator. Volunteers must be at least 14 years of age or older and still may not be able to work directly with animals. 

PLEASE RETURN THIS FORM FOR CONSIDERATION. 

Volunteer release: I hereby forever release and discharge Gimme Love Animal Shelter, its agents, directors and officers and insurance carriers from all actions, damages or judgements which I have now or may have in the future for all personal injuries to myself, known or unknown, arising from activities as and adult volunteer at Gimme Love Animal Shelter. 

I, the undersigned, have read this release and fully understand all of its terms and conditions. I sign this form voluntarily and with full knowledge of its significance.

SIGNATURE: __________________________________________________________________________ 

DATE:____________________________

PARENTAL CONSENT WAIVER:

I consent and agree to allow my minor child ______________________
(print their full name) to volunteer with Gimme Love Animal Shelter. In consideration for allowing my child to volunteer I agree to assume any and all risk connected with my minor child participation with Gimme Love Animal Shelter. I waive and release Gimme Love Animal Shelter from any and all claims for damages or injury to my minor child as a result of their participation as a volunteer with Gimme Love Animal Shelter including any and all claims of negligence of others, and agree to hold Gimme Love Animal Shelter and all persons or organizations associated with Gimme Love Animal Shelter harmless for any claims made against them as a result of the actions of any minor child of mine who participates as a volunteer with Gimme Love Animal Shelter. I represent that I am the parent or legal guardian of this minor child and that I am not under any legal disability that would inhibit my ability to understand and grand this waiver and release.

PRINT NAME: _______________________________________________

SIGNATURE: ______________________________ DATE: ____________

Volunteers must be able to react quickly and rationally, as animals can sometimes be very unpredictable. Volunteers who work with animals must have the ability to restrain the animals for their own protection and safety, the safety of others and the safety of the animals. Gimme Love Animal Shelter reserves the right to place individuals in areas best suited for their abilities and restrictions. Gimme Love Animal Shelter holds the right to reject volunteers whose participation at events or programs sponsored by Gimme Love Animal Shelter could potentially place the participant, the animals or other individuals at risk or harm. Gimme Love Animal Shelter hold the right to reject anybody from being a volunteer at any time with prejudice, or cause. 

INITIALS: Parent or guardian ____________

Parent or guardian must present to Gimme Love Animal Shelter with the participant who is volunteering.

Thank you!