Name(Required) First Last Email(Required) Phone(Required)How did you learn about Animal Place?(Required)Why are you interested in volunteering with us?(Required)Do you have any prior experience with animals? If yes, please share your experience.(Required)What frequency are you interested in:(Required) Once per week Once every other week Once per month Not a regular volunteer - interested in joining the Volunteer Work Parties on occasion Is there anything else you would like to share with us?Do you have any allergies or require the use of an epi-pen?(Required) Yes No Please provide the name and phone number of an emergency contact(Required) Waiver Policy Consent(Required) I agree to the waiver policy.Animal Place Sanctuary Liability Waiver This waiver applies to all Animal Place facilities including: Animal Place at 17314 McCourtney Road, Grass Valley, California and Animal Place's Rescue and Adoption Center at 70 Lynch Rd. Petaluma, California. Assumptions of Risks: Participation in Animal Place's Volunteer Program carries with it inherent risks that cannot be eliminated regardless of care taken to avoid injuries. Risks include, but are not limited to, scratches, bruises, sprains, broken bones, concussions, back and joint injuries, heart attacks, rattlesnake bites, animal bites, kicks or head butts, paralysis and death. I, the undersigned, my heirs and assigns assume all risks of loss or damage or injury, including death that may occur or be sustained while volunteering at Animal Place. I have read the previous paragraph and I know, understand, and appreciate these and other risks inherent in Animal Place's Volunteer Program. I hereby assert that my participation is voluntary and that I knowingly assume all such risks. Waiver: In consideration of being permitted to participate in any way in Animal Place's Volunteer Program, I, for myself the undersigned, my heirs and assigns, do hereby release, waive, discharge, and covenant not to sue Animal Place, its officers, employees, board, officials, volunteers, interns and agents from liability from any and all claims including the negligence of Animal Place, its officers, employees, board, officials, volunteers, interns and agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in Animal Place's Sanctuary Program. Indemnification and Hold Harmless: I, the undersigned, my heirs and assigns agree to indemnify and hold Animal Place, its board of directors, employees, volunteers, interns, officers, officials, agents, or property owners of Animal Place harmless from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney's fees brought as a result of my involvement in Animal Place's Volunteer Program, and to reimburse Animal Place for any such expenses incurred. Acknowledgement of Understanding: I, the undersigned, have read this Animal Place Sanctuary Liability Waiver, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.COVID Policy Consent(Required) I agree to the COVID policy.Covid-19 safety: Out of an abundance of caution and concern for our staff, all volunteers must be fully vaccinated against Covid-19. If you cannot be vaccinated due to a medical or religious exemption, a face covering must be worn during the entirety of the volunteer shift. I understand and agree to adhere to Animal Place's Covid-19 volunteer vaccination policy.I would like to Join our Moo-News and stay informed on the happenings at Animal Place Yes Signature
