Volunteer Application

First and Last Name *

Home Address/House Number and Street *

Home Address/City, State and Zip code *

Date of Birth *

Phone *

Email *

Emergency contact name *

Emergency contact phone number *

Are you currently enrolled as a school or university student? If yes, please tell us what school

Are you currently employed? If yes, please let us know th ename of your employer

Have you volunteered or worked at an animal shelter or rescue organization in the past?

Which volunteer opportunities are you most interested in?

Animal careAnimal area clean upDog walkingDog trainingFoster careSpecial EventsFundraisingCreative and DesignAdministrativeAnything that is neededOther

What days/dates are you available?

How did you hear about our volunteer program?

Volunteer Waiver Thank you for your interest in volunteering with ADLA. In order to protect our organization and our rescued animals, by submitting this application you agree to this consent and release form (If you do not agree please DO NOT submit this application). We ask this of you because, while every attempt will be made to ensure your safety, animals (particularly rescues) are by their nature unpredictable in behavior. Accordingly you, as a a volunteer, agree to the following conditions: 1. To hold ADLA, its officers, directors, employees and other volunteers forever harmless for any injury whatsoever that you may suffer as a result of your volunteer activities with ADLA. This includes but is not limited to dog bites, scratches, communicable illnesses or pests contracted from any animal. 2. To hold ADLA, its officers, directors, employees, and other volunteers forever harmless for any and all personal injuries sustained on the premises of ADLA regardless of cause or negligence on the part of ADLA, its officers or the owner of the above named property as well as any place outside the above named property while volunteering for ADLA. 3. That you are aware that as a volunteer of ADLA, you are acting as a representative of the organization and agree to act responsibly at all times by maintaining a professional demeanor and protecting the organization's rescued animals from any harm by practicing common sense while they are in your possession. 4. That any animal rescued by ADLA is owned solely by and is the property of ADLA, and as a volunteer of the organization, you will not withhold, sell or give away any animal entrusted to you by the organization. 5. That you will not rescue any animal as a stray in the name of ADLA without prior authorization from a director, officer or employee of the organization.

Volunteer Waiver agreement *By submitting this application you agree to the above Volunteer waiver consent and release form. If you do not agree please DO NOT submit this application.

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Volunteer Application

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