Name - First *
Name - Last *
Date of birth: (00/00/0000 *
Address *
City *
State *
ZIP *
Phone *
All of our shelter correspondence is via e-mail. Please make sure you provide a valid e-mail address that you have frequent access to. If you do not receive an email from us within a few days, please check your spam folder, and if not in there, email the Volunteer Coordinator at Volunteer@thecatcornerinc.com! *
The parent or legal guardian filling the form out should list their name here. *
Emergency Contact name and relationship to you *
Emergency contact number *
Is the child volunteering to earn credit in a class or for school? If so, is volunteering required or optional? *
No Yes
Date of last tetanus shot? Due to the nature of working with animals, we advise your tetanus shot be up-to-date.
No Yes
Do you have any physical, medical, or psychological limitations that would affect your volunteer duties (such as a heart condition, back injury, allergies, pregnancy)? If yes, please explain. *
I understand that due to the time involved in training our volunteers, we request that each volunteer makes a minimum commitment of 2 shifts of volunteer work per month.
No Yes
If helping with general cleaning, please let us know which day or times work best for you.
Dress Code: There is not a current dress code at the shelter. However, please keep in mind you will be doing a lot of bending and kneeling. Appearance must be neat and clean. By signing below, I acknowledge that I have read, understand, and agree to the "Dress Code." *
Use mouse to sign to acknowledge.
No Yes
I have accurately and truthfully completed this Youth Volunteer Permission AND Release Form. In consideration for this opportunity for my child or children (“my children”), I agree to the following terms and conditions, intending to be legally bound by them: THE CAT CORNER POLICIES: I will instruct my children to at all times abide by the mission, rules, regulations, policies, and programs of The Cat Corner while they are volunteers. *
No Yes
I knowingly assume the risks of my children being injured or suffering damages (including but not limited to being bitten, scratched, frightened, or otherwise harmed) in connection with their volunteer work with The Cat Corner. Neither The Cat Corner nor its directors, officers, employees, agents, or volunteers, or its and their heirs, assigns, successors, personal representatives and executors, are liable to me or my children for any injuries, damages, liabilities, losses, judgments, costs or expenses whatsoever, which my children might suffer or sustain in connection with the performance of volunteer activities. I will indemnify, defend and hold harmless The Cat Corner, its directors, officers, employees, agents, and volunteers, and its and their heirs, assigns, successors, personal representatives and executors, from and against any claims, lawsuits, injuries, damages, losses, judgments, costs or expenses whatsoever, sustained by my child, any companion animal, or any person. *
Please sign that you understand and agree with the below statements: I knowingly assume the risks of my children being injured or suffering damages (including but not limited to being bitten, scratched, frightened, or otherwise harmed) in connection with their volunteer work with The Cat Corner. Neither The Cat Corner nor its directors, officers, employees, agents, or volunteers, or its and their heirs, assigns, successors, personal representatives and executors, are liable to me or my children for any injuries, damages, liabilities, losses, judgments, costs or expenses whatsoever, which my children might suffer or sustain in connection with the performance of volunteer activities. I will indemnify, defend and hold harmless The Cat Corner, its directors, officers, employees, agents, and volunteers, and its and their heirs, assigns, successors, personal representatives and executors, from and against any claims, lawsuits, injuries, damages, losses, judgments, costs or expenses whatsoever, sustained by my child, any companion animal, or any person in connection with my children’s volunteering with The Cat Corner.
Clear
Volunteer understands and agrees that Volunteer's participation at The Cat Corner, Inc. is "at-will" in nature. Thus either Volunteer or The Cat Corner, Inc. maintains the right to discontinue Volunteer's status as a volunteer at any time, with or without advance notice or cause. *
Clear
Do you understand that the terms and conditions contained in this Youth Volunteer Permission and Release Form are binding upon me, my spouse/partner, and my and his/her respective heirs, assigns, successors, personal representatives and executors. *
No Yes
Date
