Volunteer

Name*

Email Address*

Address*

License Number*

Phone Number*

Work Phone Number

Emergency Contact Information

Emergency Contact Name

Address*

Phone Number*

Family Physician

Physician Phone

Allergies*

Last Tetanus Shot

Interests

Check all that apply:
Walking dogsFacility MaintenanceAdministrative WorkFundraising ActivitiesFoster CareYard WorkTransporting AnimalsWorking With LivestockGrooming AnimalsOther

Availability

Please indicate the days and time you will be available to volunteer:
MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Questions

Do you have any allergies or physical limitations that might affect your volunteer work? If so, please explain:

Have you ever been arrested for, or convicted of animal cruelty?

Why do you want to volunteer with the Sevier County Humane Society?

What experience have you had working with animals?

What types of animals do you own:

Volunteer Agreement

• I will abide by the mission, rules, regulations, policies and programs of the Sevier County Humane Society while I am a volunteer.

• I will not engage in any unsafe, illegal, or unethical activities while serving as a Sevier County Humane Society volunteer.

• I will not question or challenge the operational procedures of the Humane Society, or decisions made by the Board of Directors, the Executive Director, or Shelter Manager. Rather, I agree to adhere to, and abide by the procedures and decisions as they are set forth.

• As a condition of volunteering, which I acknowledge to be adequate consideration, I also agree to hold the Sevier County Humane Society harmless and enter into an additional waiver of liability contemporaneously with this Volunteer Agreement.

LIABILITY RELEASE WAIVER

• I recognize that while performing my services in a voluntary capacity, in handling animals, there exists a risk of injury, including physical harm to me. On behalf of myself, my heirs and personal representatives, I hereby release, discharge, indemnify, and hold harmless the Sevier County Humane Society, its Board of Directors, agents, servants, and employees from any and all claims, causes of action or demands of any nature or cause connected with my volunteer service. This might include costs, attorney’s fees, and court costs incurred by the Sevier county Humane Society in connection with my volunteer services based on damages or injuries which may be incurred or sustained by me in some way in the prosecution of the volunteer work. Such damages or injuries might include but are not limited to animal bites, scratches, any other accidents, injuries, or personal property damage.

• I also agree to release, discharge, indemnify and hold the Sevier County Humane Society harmless from any and all damages to my personal property while performing my services for the Sevier County Humane Society in a voluntary capacity.

• I acknowledge that I have read and fully understand the terms and conditions of the foregoing liability release waiver.

I Agree to the Agreement and Waiver