ADOPTION FIRST ANIMAL RESCUE

Volunteer Signup

First Name *

Last Name *

Email Address *

Birth Date *

Phone *

Best Time to Contact *

Drivers License Number and Issuing State

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What Location Are You Volunteering For? *

North-Carolina

Kentucky

Would you like to be added to our Facebook Group to see Volunteer Opportunities on a consistent basis? This is a private group that is only for active team members. *

Yes

No

Would you like to receive emails from Adoption First Animal Rescue with new volunteer opportunities and other marketing materials. *

Yes

No

Would you like to be added to our automated texting system to be informed of upcoming events and reminded about volunteer opportunities? *

Yes

No

Have you previously done volunteer
work for this organization? *

Yes

No

What days of the week are you
consistently available? Use Other Box if you do not have a consistent schedule to provide details. *

What type of volunteer work are you interested in? *

Comments/Additional Information

HOLD HARMLESS AGREEMENT LIABILITY WAIVER Release, Indemnification and Hold Harmless Agreement The undersigned individual (hereinafter “Volunteer”) has voluntarily elected to assist the Adoption First Animal Rescue (“Adoption First”) either directly or indirectly with the operations of Adoption First which may include, but are not limited to administrative activities, sanitation, animal interaction in whatever form, and providing animals suitable shelter and sustenance (“Tasks”). Volunteer acknowledges that there are certain risks involved in the activities associated with the same, and that even with the utmost care, there is possibility of personal injury. To this end, the Volunteer agrees as follows: 1. As a condition of the Volunteer being permitted to assist in the Tasks, Volunteer agrees to RELEASE, INDEMNIFY and HOLD HARMLESS, and further covenants not to sue, Adoption First from and against any claims, demands, actions, liens, rights, subrogated or contribution interests, debts, liabilities, judgements, costs, and attorneys fees, arising out of claims on account of, or any manner predicated upon, the Volunteer’s participation in the Tasks, including claims pursued by licensees, invitees, and trespassers of Volunteer. 2. Volunteer hereby covenants and agrees, for her/himself and her/his representatives, that s/he shall not institute, prosecute, or in any way aid in the institution or prosecution of any demand, claim or suit against Adoption First for any injury suffered by her/him, including injury to personal property, which may occur as a result of her/his participation in the Tasks. 3. Volunteer grants express, voluntary and knowing consent to the rendering of all emergency medical or dental treatment that may, in the sole judgement of Adoption First and its employees and agents, become necessary while participating in the Tasks if Volunteer is otherwise unable to render a knowing, informed, and consensual medical or dental decision. 4. In executing this Agreement, Volunteer represents and warrants that, to the best of her/his knowledge, s/he is in good physical health, and knows of no reason why s/he cannot participate in the Tasks. 5. This Agreement shall be governed in accordance with the laws of the State of Kentucky. Furthermore, venue for any action, whether at law or in equity, shall be in Kenton County, Kentucky. INITIAL BELOW

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VOLUNTEER SIGNATURE *

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