First and Last Name
D.O.B./Age
Street Address
City
State
Zip
Home Phone
Work Phone
Cell phone
Email Address
Employer/Job Title
If yes, please provide name and phone # of employer
Allergies or physical restrictions
How did you hear about We Saved a Puppy Animal Rescue?
Why do you want to volunteer at We Saved a Puppy Animal Rescue?
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)
If you would like to comment more on your experience with the above, please do so here
If you listed other, please explain
If you would like to comment more on your experience with the above, please do so here
If you listed other, please explain
Reference #1 (Name, phone # and relationship to self)
Reference #2 (Name, phone # and relationship to self)
Reference #3 (Name, phone # and relationship to self)
Any additional comments
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 We Saved a Puppy (WSAP). WHEREAS, the Volunteer has voluntarily contacted WSAP and has expressed an interest in working with dogs in the care and custody of WSAP. In consideration of WSAP’s 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 WSAP 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 WSAP, 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.
