Volunteer Application

Name

(First/Middle/Last)

Address

City/State/Zip

Your Age

 18 - 25 26 - 39 40 - 59 60+

Phone Numbers

Home:

Cell:

Work:

E-mail Address

Other contact info

Have you had any previous experience (volunteer and/or employee) with any rescue group or animal shelter?

Have you had any previous experience (volunteer and/or employee) with any rescue group or animal shelter?

(Please explain)

Tell us why you would like to volunteer at CARE

List your pets

(Name, Age, Breed, Spayed/Neutered, Behavior Issues)

Your current veterinarian(s)

Days/Times Available

(AM/PM)

Physical Condition

Allergies

Medical Conditions

Physical Restricitions

Date of Last Tetanus

In Case of Emergency Contact

Name

(First/Middle/Last)

Address

City/State/Zip

Phone Numbers

Home:

Cell:

Work:

INSURANCE WAIVER

The undersigned Volunteer and the Center for Avian Rehabilitation & Education, Inc. (CARE, Inc.) enter into the following binding Agreement:

Volunteer understand that CARE, Inc. makes no warranty as to age, health, breed, habits and/or any remote location could inflict upon any person or property, and for any illness of the animal or for the transmittal of any illness or parasite to any other pet or person. Volunteer further indemnifies and holes harmless CARE, Inc. for any actions, suits, fees and/or expenses (including actual attorney's fees) arising out of any injury from an animal on the premises of CARE, Inc. and/or any remote location.

The volunteer name on this application indicates they are 18 and over

 Yes No