Let’s work together.Interested in volunteering? Fill out some info and we will be in touch shortly! Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email Phone * (###) ### #### Date of Birth * *If under 18, a legal guardian must sign below Ways in which I would like to volunteer * click all that apply walk dogs office support socializing cats fundraising groom cats/dogs photographing animals cleaning Other skills I have Days and times I have available * Previous volunteer experience Signature * SIGNATURE FROM LEGAL GUARDIAN OF MINOR * Emergency Contact * First Name Last Name Phone * (###) ### #### Relationship Release of Liability *Read Carefully – This Affects Your Legal Rights* In exchange for participating in the activity of volunteering at the Mission Valley Animal Shelter, Polson, Montana (“MVAS”), performing various support duties including the feeding, watering of dogs and cats, exercising/walking dogs, socializing cats, bathing and brushing of dogs, brushing of cats, maintaining a clean, sanitary and healthy environment at the shelter’s facilities, performing light office duties, maintenance and/or repair of various facilities of the shelter premises and to performing any other activities that may be assigned to me from time to time by the MVAS Shelter Manager, I agree to the following: 1. I agree to observe and obey all posted rules and warnings and further agree to follow any and all instructions given by the Shelter Manager or employees of MVAS. 2. I recognize that there are certain inherent risks associated with the above described activities and I assume full responsibility for personal injury to myself and further release and discharge MVAS for injury, loss or damage arising out of my own acts and omissions relating to the service I am voluntarily providing to MVAS. I will disclose any physical or psychological limitations to the Shelter Manager before participating in any activity. 3. I agree to indemnify and defend MVAS against all claims, causes of actions, damages, judgment costs or expenses, including attorneys’ fees and other litigation costs, which may in any way arise from my use of or presence upon the facilities of MVAS. 4. I agree to pay for all damages to the facilities of MVAS caused by my or my family’s negligence, reckless or willful actions. 5. As a volunteer, I expressly agree that this Release of Liability is intended to be as broad and inclusive as permitted by the laws of the State of Montana and shall be governed and construed in accordance with the laws of the State of Montana. I agree that in the event that any clause or provision of this Release of Liability is deemed invalid, the enforceability of the remaining provisions of this Release of Liability shall not be affected. *By signing below, I express my understanding and intent to enter into this Release of Liability willingly and voluntarily. Name * First Name Last Name PARENT OR LEGAL GUARDIAN’S ADDITIONAL INDEMNIFICATION In consideration of “Minor” being permitted by MVAS to participate in its activities as described herein, I agree to indemnify and hold harmless MVAS from any and all claims which are brought by, or on behalf of Minor or by any other family member, and which are in any way connected with the activities of Minor in connection with his volunteer actions for MVAS. The undersigned does hereby represent that he/she is acting in the capacity of parent or legal guardian of Minor. I have read the Release of Liability and explained it thoroughly to Minor and agree to the above additional indemnification and agree to the terms of Release of Liability set forth above. Minor Signature * First Name Last Name Guardian Signature * First Name Last Name VOLUNTEER CONFIDENTIALITY AGREEMENT I acknowledge that I will be exposed to information that is or will be confidential, including, but not limited to information on intake forms, adoption applications, applications for spay/neuter assistance, and discussions in the shelter. Such information shall be deemed confidential to the extent not generally known to the public. I agree to make use of this information only in the performance of my duties and to maintain such information in confidence and to disclose the information only to persons with a need to know. Volunteer Signature * First Name Last Name Legal Guardian Signature, if needed * First Name Last Name Thank you!
