Volunteer Form

D.O.B./Age:

Home phone:

Work phone:

Cell phone:

Employer/Job Title:

May we contact for reference:

How did you hear about From Alone To Home Rescue?

Do you work with any other rescue organizations?

If so, please give contact information for that organization including name and phone #:

Please list any pets you currently own (or have owned in the past).

Animal Experience: (check all that apply)

If you would like to comment more on your experience with the above, please do so here:

If you listed other, please explain:

Other Experience, Special Skills, Strengths, Talents: (check all that apply)

If you would like to comment more on your experience with the above, please do so here:

If you listed other, please explain:

Volunteer Work Preferences: (check all that apply)

When are you available to volunteer?

Reference #1 (Name, phone # and relationship to self)

Reference #2 (Name, phone # and relationship to self)

Any additional comments:

Anything else you would like to say, please note it here:

In case of emergency, who should we contact? (name and phone #)

This volunteer agreement (“Agreement”) is entered into as of the date set forth below by From Alone To Home Rescue (FATH). WHEREAS, the Volunteer has voluntarily contacted FATH and has expressed an interest in working with dogs in the care and custody of FATH In consideration of FATHs agreement to allow the volunteer to view and/or interact with such dogs, the volunteer hereby, for his/her heirs, his/her personal representatives, and him/herself represent and warrant as follows: 1. The volunteer is fully aware of the risks that dogs pose and have elected to view and/or interact with one or more dogs in the care of FATH voluntarily. The volunteer knowingly assumes all risks that exposure to dogs may pose, including but not limited to serious bodily injury and/or death. 2. THE VOLUNTEER HEREBY WAIVES, RELEASES DISCHARGES, HOLD HARMLESS, AND PROMISES TO INDEMNIFY AND NOT TO BRING SUIT AGAINT FATH, its directors, officers, volunteers, staff, and all other agents, and attorney for any of the referenced parties and any other parties acting for or on behalf of the referenced partied from an and all rights and claims which the volunteer has or which may hereafter accrue to the volunteer and from any and all damages which may be sustained by the volunteer directly or indirectly in connection with, or arising out of, the volunteer’s exposure to such dogs.

By writing your name here, you are agreeing to the above liability waiver.

By writing your name here, you are stating that you are the parent/guardian of the above applicant and you grant your permission for them to volunteer with From Alone To Home Rescue.