First Name*
Last Name*
Address
City
State/Province
Zip/Postal Code -
Email*
Cell Phone*
How did you hear/find out about ASR? Please list any referrals (friends/family etc).*
Are you over 18 yrs old?*
Please provide 2 personal references First, Last name Email and Phone Number *
How Many Hours Will You Be Able to Commit Each Week?*
What Times/Days Will You Be Available?: *
What Volunteer Opportunities are you Most Interested in?:
Do You Have Any Special Skills That Could Benefit the Rescue?:
Is this a community service mandated by a judge, school, or other entity? *
If this is a mandatory service, please explain further
How Experienced Are You With Dogs?*
Tell Us About Your Experience with Dogs*
Tell us more about you
This Release and Waiver of Liability (the “release”) releases Amazing Strays Rescue (ASR) a non-profit corporation organized and existing under the laws of the State of California and each of its directors, officers, employees and agents. The participant desires to provide volunteer services forASR and engage in activities related to serving as a volunteer and will be referred to as a “Volunteer” throughout this document. The Volunteer understands that the scope of Volunteer’s relationship with ASR is limited to a volunteer position and that no compensation is expected in return for services provided by Volunteer; that ASR will not provide any benefits traditionally associated with employment to Volunteer; and that Volunteer is responsible for his/her own insurance coverage in the event of personal injury or illness as a result of Volunteer’s services to ASR. *
Waiver and Release: I, the Volunteer, release and forever discharge and hold harmless ASR, and its successors and assigns from any and all liability, claims and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from the services I provide to ASR. I understand and acknowledge that this Release discharges ASR from any liability or claim that I may have against ASR with respect to bodily injury, personal injury, illness, death or property damage that may result from the services I provide to ASR or occurring while I am providing volunteer services.*
Insurance: Further I understand that ASR does not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health or disability benefits or insurance of any nature in the event of my injury, illness, death or damage to my property. I expressly waive any such claim for compensation or liability on the part of ASR beyond what may be offered freely by ASR in the event of such injury or medical expenses incurred by me.*
Medical Treatment: I hereby Release and forever discharge ASR from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my tenure as a volunteer with ASR.*
Assumption of Risk: I understand that the service I provide to ASR may include activities that may be hazardous to me including, but not limited to, bites, scratches, slips, trips, falls, ringworm, parasites, zoonotic illness, lifting injuries, loss of personal property, damage to apparel or personal property or exposure to cleaners, involving inherently dangerous activities. As a volunteer, I hereby expressly assume the risk of injury or harm from these activities and Release ASR from all liability for injury, illness, death or property damage resulting from the services I provide as a volunteer or occurring while I am providing volunteer services.*
Off Site: I hereby agree that I am providing volunteer services to ASR assisting in pet adoptions and transportation. This may also include assisting in off-site adoptions of pets and transportation through ASR at other venues or in a vehicle. I understand that neither ASR nor the off-site venue is responsible for any illness or injury caused by any animals that I come into contact with during my volunteer work. I agree to hold harmless and release from liability ASR and the off- site venue should I become sick or injured from any animals as a result of my volunteer work.*
Photographic Release: I grant and convey to ASR all right, title and interests in any and all photographs, images, video or audio recordings of me or my children or my likeness or voice made by ASR in connection with my providing volunteer services to ASR.*
Other: As a volunteer, I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of California and that this Release shall be governed by and interpreted in accordance with the laws of the State of California. I agree that in the event that any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of the Release shall not be affected. By signing below, I express my understanding and intent to enter into this Release and Waiver of Liability willingly and voluntarily*