Please print this form and bring it, completed, to Charming Pet Rescue on the first day you volunteer. 

 

Thank you.
 

                                                      

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Charming Pet Rescue

Volunteer Program

Waiver of Liability & Permission Form

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Volunteer Name:   _________________________________________________________

 

As a volunteer I:

 

1. I understand that there are certain risks inherent in handling animals and accept these risks.

2. I will not hold , its directors, officers, employees, agents, contractors, or volunteers liable for any illness, injury or disease that might sustain or contract while performing duties at/for Charming Pet Rescue.I I

3. I agree that shall not be responsible or liable for any loss, damage or expense arising out o

4. If the participation. Permission is granted to utilize any medical emergency services that deems necessary to treat injuries sustained by.

5. I agree to be personally responsible and liable for any and all injury, harm or other incident that may occur before, during and after transit to Charming Pet Rescue or attending an event for Charming Pet Rescue.

6. I understand if exhibits behaviors considered by to be dangerous to him/herself, to the animals and/or to other volunteers, he/she may be removed from Charming Pet Rescue or event participation.

7. I understand under the age of 13 must be accompanied by a responsible adult. Responsible adult must remain at facility or event unless an agreement has been otherwise discussed with Charming Pet Rescue.Responsible adult is defined as a person over the age of 18 that has the permission to act on their behalf.

We have read and fully understand the above waiver and release of liability and agree to, or in the case of Parent(s) give consent for Volunteer to, participate in duties as needed.

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Signature of Volunteer    _____________________________________________

 

                                                                     

 

Date:   _______________________________________  

 

              

 

 

Signature of Parent(s)  _______________________________________________            Date:  ______________________                         

 

Medical Information:

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Volunteer has the following allergies or medical conditions:______________________________________________________

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Emergency Contact Name & Number:  _______________________________________________________________________

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Physician’s Name & Number:  ______________________________________________________________________________