Volunteer Application - Animal Education & Rescue

ANIMAL EDUCATION AND RESCUE (AEAR) is an incorporated group of individuals volunteering their time, money, love and efforts to rescue pets, whether or not purebred, who have been abandoned, surrendered to animal shelters/humane societies, or surrendered to AEAR by their owners. AEAR is always seeking volunteers who love pets. AEAR welcomes and encourages your interest in volunteering.

Applicant's Information

Name(Required)

First Last

Birth Date(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Daytime Phone #(Required)

Evening Phone #(Required)

Email(Required)

Do you have daily access to your email?(Required)

Yes

How often do you check your email?(Required)

Personal References

Please provide 2 personal references (not someone you live with)

Name | Personal Reference #1(Required)

First Last

Phone(Required)

Relationship(Required)

Name | Personal Reference #2(Required)

First Last

Phone(Required)

Relationship(Required)

Are you comfortable approaching dogs that you do not know?(Required)

Yes

Do you understand that dogs may be unpredictable and that AEAR cannot guarantee that a dog we are attempting to rescue may become aggressive?(Required)

Yes

Are you willing to assume the risks involved with working with animals who are sometimes frightened and who are in unfamiliar surroundings and the possibility that the dog may become aggressive and/or bite you and/or another person or your companion animals?(Required)

Yes

Are you willing to accept any risk involved in transporting a dog inside your vehicle?(Required)

Yes

Approximately how many hours per week (total) are you available for volunteer activities?(Required)

Please enter a number greater than or equal to 0.

Please mark all areas below which you feel you would be most helpful in:(Required)

Transport

Foster

Surrender

Marketing

Adoptions

Fund Raising

Education

Mark any of the following animal-related areas or work you have any experience/training in:

Breeding

Training

Grooming

Vet Assistant

Kennel Worker

Pet Store Sales

Animal Rescue

Other

If you marked one or more of the above, please explain the nature and extent of your work/training experience:

Briefly, please describe why you are interested in volunteering for a group dedicated to rescuing pets:(Required)

How did you hear about AEAR?(Required)

Volunteer Waiver

Liability Waiver for Volunteer/Participant As a volunteer/participant of Animal Education and Rescue, from here known as AEAR, (or as an adult parent of a volunteer/participant of AEAR under 18 years of age who is representing that minors interests), I recognize and acknowledge that there are physical and other risks associated with acting as a volunteer/participant of AEAR, which could include exposure to, contact with or injury from live animals such as cats and dogs. Some specific risks can include bites, scratches, torn skin, bruises, and damaged clothing or other property. I voluntarily agree to assume any and all risks that I sustain or may sustain as a result of volunteering/participating in any activities connected or associated with AEAR, and hereby voluntarily waive any and all claims, damages or causes of action that I may have at any time against AEAR or its officers, directors, agents, servants, employees, and invitees in connection with my volunteering and participating with AEAR.

I hereby voluntarily indemnify, hold harmless, defend, discharge, and release AEAR and their officers, directors, agents, servants, employees, and invitees (collectively “Indemnified Parties”) from any and all claims, demands, causes of action, losses, damages, or liability of any kind for any injury, harm, damages, or loss, including death, that any of the Indemnified Parties sustains or may sustain arising directly or indirectly our of my actions, inactions or negligence as a volunteer/participant with AEAE, including actions related to my use or operation of equipment or facilities provided by or associated with AEAR.

I hereby make application to participate as a volunteer of AEAR and agree to be governed by the rules and regulations as set forth by Animal Education and Rescue.

I have read this Liability Waiver and fully understand it.

Signature

Date

Parent Signature

Date

Junior Volunteer Release (Ages 8 -17)

I hereby give permission for the applicant to be transported and treated by a doctor(s) elected by AEAR in case of an emergency or accident. My insurance coverage is: