Volunteer Form

Form for Volunteering

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About You

Your Name(Required)
Your Address
MM slash DD slash YYYY
Please check areas of volunteering interest (can be more than one)(Required)
Do you have any pets at this time?(Required)
Are your pets sprayed or neutered?(Required)
Have you ever been convicted of a felony?(Required)
Please read carefully and check to agree
I agree to the following: I give permission to be photographed, interview or videotaped to publicize FHS volunteerism. This may be used in newsletters, website or other publications to raise community awareness of our work for the animals. I agree to comply with all rules and regulations that may be established by the Flagler Humane Society. I understand that my failure to comply may result in my inability to volunteer with Flagler Humane Society. I acknowledge that my services are provided on a volunteer basis without any pay or compensation of any type and without liability of any nature on behalf of Flagler Humane Society. All service performed by me are at my own risk. I recognize that in handling animals there exists a risk or injury, including physical harm caused by animals. I understand it is my responsibility to follow the Flagler Humane Society policies and procedures as described in my volunteer training and that direct supervision may not be available at all times. On behalf of myself, my heirs, personal representatives, and executors, I hereby release, discharge, indemnify, and hold harmless the Flagler Humane Society, Inc., its agents, servants, employees and board members from any and all claims, cause of action or demands and any mature of including costs and attorneys’ fees incurred or sustained by me in any way connected wth my services performed at Flagler Humane Society, including but not limited to: Animal bites/ scratches, accidents, injuries, property damage and/or medical fees.