225-362-9591 or 225-571-6637 | Tennessee, USA petpathorg@yahoo.com

VOLUNTEER APPLICATION

About You-Your Contact Information and references

Please Tell Us About Your Pets

Your skills and experience

WAIVER OF LIABILITY, MEDICAL RELEASE, PHOTO/VIDEO RELEASE AND INDEMNIFICATION AGREEMENT

In consideration for being permitted by Pet Path to participate as a volunteer in various activities, I hereby waive, release, and discharge any and all claims and damages for personal injury, death, or property damage which I may sustain or may which hereafter accrue as a result of my participation as a volunteer and resulting from negligence or misconduct of Pet Path. This release is intended to discharge in advance Pet Path, its’ Directors, Officers, and/or agents to include their heirs, agents, representatives, successors and assignees from and against any and all liabilities, actions, claims, demands, costs, or expenses arising from or in any way connected with my participation as a volunteer and resulting from the negligence or misconduct of Pet Path. I understand that various activities involving dogs and/or puppies can be hazardous in nature involving the possibility of being bitten, scratched, jumped on, dragged or knocked over. The possibility of serious accidents and/or injury can occur during participation in volunteer activities. Knowing the risks involved nevertheless I have voluntarily applied to participate in volunteer activities and I hereby agree to assume all risks of injury, and to release and hold harmless Pet Path, its’ Directors, Officers, and/or agents who through negligence or carelessness might otherwise be liable to me. I further agree to indemnify and to hold Pet Path, its’ Directors, Officers, and/or agents free and harmless from any loss, liability, damage, cost or expense which they may incur as a result of any injury and/or property damage I may sustain while participating as a volunteer. I agree that all services I provide are charitable in nature and entirely voluntary, and there will be no compensation of any kind for the performance thereof. Further I have been fully advised that as a non-employee I am not covered by worker’s compensation and am not covered under any medical insurance plan associated with my volunteer position with Pet Path. I hereby grant Pet Path permission to use my likeness in a photograph/video or any photo/video that I upload to the Pet Path Facebook page or any social media, designated repository in any and all of its advertising or collateral materials, including the Pet Path website (petpath.org) without payment or any other consideration. I hereby irrevocably authorize Pet Path to edit, alter, copy, exhibit, publish or distribute any photos/videos taken of or by me for purposes of publicizing the Pet Path organization or for any other lawful purpose.

I HAVE CAREFULLY READ THIS WAIVER OF LIABILITY, MEDICAL RELEASE, PHOTO/VIDEO RELEASE AND INDEMNIFICATION AGREEMENT AND FULLY UNDERSTAND THE CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND AGREEMENT BETWEEN MYSELF (AND MY GUARDIAN, if applicable) AND PET PATH.

The following is to be signed in person upon the start of any volunteer activity.
Signature:______________________________________________
Name Printed__________________________________________
Date:_____________
Witness:________________________________________________
Name Printed:_________________________________________
Date:_____________

If a volunteer is under the age of eighteen (18), the signature of the volunteer’s parent(s) or legal guardian(s) is required before participation is allowed. We cannot accept volunteers younger than the age of sixteen (16). Those between ages 16 and 18 must be closely supervised by an adult. By signing this waiver agreement, you hereby release any and all liability and/or claims against Pet Path, its board members, volunteers, foster families and affiliates.

Signature of Legal Guardian_______________________________________________
Name Printed:_________________________________________
Date:____________________________
Signature of Legal Guardian_______________________________________________
Name Printed:_________________________________________
Date:____________________________
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