School Project Application

Name*

First Last

Email*

Phone

Address*

Street Address Address Line 2 City State ZIP Code

Your date of birth*

Please note that if you are UNDER 18, a parent/guardian must sign the waiver at the bottom of this form.

Emergency contact name

First Last

Emergency contact phone

Emergency contact relationship

Reason for volunteering

Number of hours you wish to volunteer

Prior experience with animals (check any that apply)

Experience with my own pets
Worked/volunteered in a shelter or with a rescue
Pet-sitting
Animal behaviorist/trainer
Other

Which shelter(s)?

Animal Rescue League of Iowa
Animal Lifeline of Iowa
AHeinz 57
Hope Animal Rescue
Other

Are you allergic to any of the following?*

Cats
Dogs
Small critters
No animal allergies

How severe are these allergies?

Short-term volunteers may only work with cats or cleaning/office tasks that don't require animal interaction. However, there is still cat dander in the air, so please contact us for alternative arrangements if this is hazardous to your health.

Are you willing to complete any task assigned to you?*

If you are not, then please exit this form now.

Yes
No

VOLUNTEER AGREEMENT AND WAIVER (parent must sign if under 18)*

I recognize that working with animals places me at physical risk, and I agree to assume that risk. Furry Friends Refuge has taken measures to ensure reasonable safety for me as a volunteer. It is possible, however, that accidents or injuries may occur while I am volunteering on Furry Friends property or any other location where I may be working as a Furry Friends volunteer. In such an event, I release Furry Friends Refuge from any and all claims and causes of action that I may have arising from an injury or damage sustained during my volunteer work with the organization. I also will hold harmless any other locations I may volunteer at for injury or illness caused by the animals I come into contact with in my volunteer duties. I agree to allow Furry Friends to use my photo or likeness taken during volunteer activities in promotion of the organization’s programs and mission. I agree that I will respect the positions and policies of the organization. While personal opinions regarding care and other issues may vary, I will follow the positions and policies set out by Furry Friends as I am volunteering as a representative of the organization. If you are 18 or older, type your first and last name into the box below to indicate your acceptance of these terms. This will act as your signature. If you are under 18, your parent or guardian must review this agreement first, then he/she must type his/her name below. Parent or guardian’s typed name below shall act as a signature indicating a waiver of liability for minor volunteer. Parents and guardians of minors under 16 must also submit their own volunteer application and must accompany minor at all times.

First Last

Email

This field is for validation purposes and should be left unchanged.

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