Thank you for your interest in volunteering as part of a corporate or community group! Please fill out the following waiver; if you are under 18 years old, your parent/guardian must sign the bottom portion on your behalf. Name* First Last Email* PhoneAddress* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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. MM slash DD slash YYYY Emergency contact name First Last Emergency contact phoneEmergency contact relationship Please tell us which group you are volunteering with.* 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. 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 EmailThis field is for validation purposes and should be left unchanged. Δ Share this:TwitterFacebookLike this:Like Loading...