Download Volunteer Application Form

Volunteer Application Form
* There is a one-time $15.00 fee to become a PHS volunteer. Fee is $10.00 with a current student or military ID.
Name ________________________________________________________ Age _____________ Date of Birth ____________
Address ___________________________________________________________________________Apt ___________________
City _____________________________________________________State ________________ Zip Code ___________________
Phone Number ______________________________________ Email ________________________________________________
Are You Currently in the Military?
YES / NO
Are You Getting Assigned Hours for School / Military / Court?
YES / NO
If yes, how many hours do you need? ___________________________________________________________________________
Do You Have Any Experience Walking Or Handling Dogs?
YES / NO
If yes, please explain _________________________________________________________________________________________
Do You Have Any Experience With Cats?
YES / NO
If yes, please explain _________________________________________________________________________________________
I am a: CAT PERSON
DOG PERSON
BOTH
While We Do Not Require Volunteers to Commit to Certain Days or Times to Volunteer, the Pensacola Humane Society Asks That
All Volunteers Commit to Volunteering a Minimum of Four Hours a Month. Is This a Commitment That You Feel You Can
Handle? YES / NO
Please Circle Areas of Volunteer Interest:
RECEPTIONIST
PHOTOGRAPHY
SPECIAL EVENTS*
KENNEL CLEANING
DOG WALKING
PETCO CAT CARE
DOG SOCIALIZATION
ADOPTION EVENTS*
CAT SOCIALIZATION
FOSTER CARE
YARD WORK
OTHER (Please Specify Additional Skills/Interests) ________________________________________________________________
*If you are interested in volunteering for adoption events and/or special events, please make sure to provide a LEGIBLE email
address. PHS sends out monthly emails to provide information on upcoming events.
What Are You Looking For In Your Volunteer Experience? ___________________________________________________________
This document may be referred to herein as the "Release." "Pensacola Humane Society, Florida, Inc," shall be described
herein as the "Humane Society." The party releasing the Humane Society may be referred to herein as the "Releasor" and may be any
volunteer, vendor, or other person(s) who may be present at any Humane Society function or location where the Humane Society is
carrying out any functions or operations whatsoever. If you are signing this release YOU ARE IRREVOCABLY RELEASING THE
HUMANE SOCIETY FROM LEGAL CLAIMS. READ THIS RELEASE CAREFULLY.
This release shall be effective on the date that it is executed by the Releasor. Consideration for this release shall by the Humane
Society's allowance of the Releasor to work as a volunteer, vendor, or otherwise be involved with the Humane Society (to include
but not limited to attendance at Humane Society functions or be present at property owned or otherwise under the control of the
Humane Society). The parties agree that there is sufficient consideration to support this Release and hereby waive any challenge as
to inadequate consideration. The Releasor is advised and understands that the Humane Society is a non-profit organization which is
dedicated to the humane treatment of animals. The Releasor further acknowledges that most animals which the Releasor may be in
contact with are of no danger. However, the Releasor is advised and understands that animals can be unpredictable. The Humane
Society has no way of knowing the complete history or temperament of all animals under its care or charge. The Humane Society
will take precautions but accidents and incidents can and do occur, including serious injuries and bites. The Releasor agrees that
the Humane Society shall not be liable for any injuries or any damage (whether caused by an animal or not) or be subject to any
claim, demand, injury or damages, whatsoever, including without limitation, including those damages from acts of passive or
active negligence on the part of the Humane Society, its board, officers, employees, volunteers, or agents. The Releasor does hereby
expressly forever release and discharge the Humane Society from all such claims, demands, injuries, damages, actions, or causes of
actions. Releasor acknowledges that he/she has carefully read this Release and fully understands that this is a complete waiver and
release of liability. It is understood and agreed the intent of this release is to fully and completely release the Humane Society from
any and all liability, including its own negligence, to include but not limited to the negligence of the Humane Society board, officers,
employees, volunteers, or agents.
To the extent that there is any disagreement between the Releasor and the Humane Society, any and all disputes of any nature shall
be resolved by binding arbitration consistent with Florida Law. The parties hereby waive their right to a jury trial and agree that any
all disputes will be resolved by binding arbitration.
This Release and Arbitration Agreement shall be in effect in perpetuity once executed.
The Releasor is hereby advised of the right to seek counsel before executing this Release and Arbitration Agreement and is
encouraged to do so. The Releasor understands and acknowledges that he/she is giving up important rights by executing this
agreement. The Releasor attests that he/she is at least 18 years of age and if not, a legal parent or guardian has agreed to this release
by signature below. Persons under 18 are not permitted to participate in Humane Society activities as volunteers or vendors without
parental consent and release.
Date ______________
Printed Name of Releasor _______________________________________________________
Signature of Releasor __________________________________________________________
Printed Name of Parent or Guardian (if under 18) ___________________________________
Signature of Parent or Guardian (if under 18) _______________________________________