Volunteer ApplicationPlease Complete and Submit volunteer Application Application Information Name * First Name Last Name Birthdate You must be at least 18 years of age or older to submit this application. PLEASE NOTE: If you live with your parents, or with other adults who own the home, they must complete an application as well. MM DD YYYY Email * Phone (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Are you currently a foster or volunteer with any? If yes, please list them. * T-shirt Size Are you a WTWTA Adopter? YES NO Current occupation or area of study. Interest/Reasons to Volunteer EMERGENCY CONTACT INFORMATION Contact First Name Last Name Number (###) ### #### Relationship VOLUNTEER AVAILABILITY Please indicate the days and times you are usually available to volunteer. MORNINGS Check all that apply. SUN MON TUE WED THU FRI SAT AFTERNOON Check all that apply. SUN MON TUE WED THU FRI SAT EVENINGS Check all that apply. SUN MON TUE WED THU FRI SAT FLUCTUATES Check all that apply. SUN MON TUE WED THU FRI SAT MY AVAILABILTY IS INTERMITTANT ONGOING WTWTA RESCUE AGREEMENT & CONSENT I will abide by the mission, rules, policies, and programs of WTWTA RESCUE while I am a volunteer. * I agree to be supervised by a designee and will work as a team member with all volunteers. I will treat all animals, other volunteers, and the public with dignity and respect while representing WTWTA RESCUE. I understand that WTWTA RESCUE will investigate any suspicion of abuse or mistreatment of animals in WTWTA RESCUE programs, and will report any proof to authorities for prosecution. I have accurately and truthfully completed this application. I understand and agree with the contents. I understand that my photo and image may be posted to public and social media sites. I understand and agree that ALL services performed by me are on a strictly volunteer basis, with no expectation of remuneration, compensation, or pay of any kind. I understand that I am not an employee of WTWTA RESCUE, and will not receive benefits from WTWTA RESCUE. This includes insurance coverage of any kind. I understand and agree that WTWTA RESCUE shall incur NO liability of any nature as a result of my volunteering with WTWTA RESCUE. I understand there is an inherent risk of injury with handling animals and other tasks associated with volunteering, which may include physical harm or possibly death. I understand that WTWTA RESCUE recommends vaccinations be current for humans and their pets. I understand that WTWTA RESCUE does NOT provide insurance coverage to volunteers, it is recommended for volunteers to maintain insurance coverage at their own expense, for potential accidents and injury resulting from volunteering with WTWTA RESCUE. I will not perform any duties for which I am not adequately trained for, or not comfortable with. I will express concerns to leadership, and refuse to do anything I am not completely comfortable with. On behalf of myself, my heirs, and personal representatives, I hereby release, discharge and indemnify and hold harmless, WTWTA RESCUE and it's assigns, successors, agents, staff, officers, board of directors, and representatives from any and all claims, causes of action or demands of any nature of cause whatsoever, including costs and legal fees arising out of, or relating to, my volunteering with WTWTA RESCUE, including but not limited to, animal bites, disease, accidents, property damage, and/or injuries. Agreement to Hold Harmless SIGNITURE OF VOLUNTEER * Please type your name. Date * Date of signature. MM DD YYYY Thank you for submitting to be a Wild Things Foster we will be processing your application and getting back to you within 24-48hrs.
