Volunteer Application

Thank you for offering your time, once submitted you will be sent an Email Confirmation.

RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT CITY OF SHELBYVILLE/SHELBY COUNTY ANIMAL SHELTER VOLUNTEER RELEASE FORM IN CONSIDERATION of being permitted to participate as a volunteer of the Shelby County Animal Shelter, The UNDERSIGNED, for himself/herself, his/her personal representatives, heirs, and next of kin, acknowledges, agrees and represents that he/she: HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the City of Shelbyville, Shelby County and the Shelby County Animal Shelter, any HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the City subdivision thereof, owners and lessees of premises used to conduct the operations of the Shelby County Animal Shelter and each of them, their officers, employees, agents and servants, all for the purposes herein referred to as "releasees", from all liability to the undersigned, his personal representatives, assigns, heirs, and next of kin for any and all loss or damage, and any claim or demands therefore on account of injury to the person or property or resulting in death of the undersigned, whether caused by the negligence or the releasees or otherwise while the undersigned is participating as a volunteer for the Shelby County Animal Shelter; 2) HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the releasees and each of them from any loss, liability, damage, or cost they may incur while participating as a volunteer for the Shelby County Animal Shelter and whether caused by the negligence of the releasees or otherwise; 3) HEREBY ASSUMES FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH, OR PROPERTY DAMAGE due to the negligence of the releasees or otherwise while participating as a volunteer for the Shelby County Animal Shelter. EACH OF THE UNDERSIGNED expressly acknowledges and agrees that participating as a volunteer for the Shelby County Animal Shelter is dangerous and involve the risk of injury and/or death/and or property damage. THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and further agrees that no oral representations, statements, or inducements apart from the foregoing written agreement has been made.

I am over 18 Years old * If you are not 18 or over please do not continue. We cannot accept volunteers under 18 for liability reasons. However many young men and women help by raising money, blanket, food and toy drives. We would love your help. You do not have to fill out this application to contribute in other ways.	NoYes
Name - First *
Name - Last *
Address *
City *
State *
ZIP *
Phone *
Email *
Emergency contact name *
Emergency contact number *
Dog Care	NoYes
Cat Care	NoYes
Fostering - Short Term	NoYes
Fostering - Long Term See our fostering information and application for more information	NoYes
Foster Care Coordinator	NoYes
Helping Out at the Shelter - General Cleaning	NoYes
Bathing and Grooming Animals	NoYes
Fundraising efforts Please include interest in activities like Event planning, solicitation efforts, grant writing, donor searches, Public Relations, etc.
Driving Animals to Vet Appointments, Adoption Events, etc.	NoYes
Photographer	NoYes
Please explain what you hope to contibute as a volunteer?
Please list any relevant animal care/volunteer experience.
Do you have a criminal conviction in the last 10 years?	NoYes
Please list any children who will volunteer with you
Please Sign *	Clear
Date *