volunteer REGISTRATION

When completing the form below, please specify the days and times that you are available.

Volunteer shifts are for 1 to 2 hours.

Volunteers under the age of 16 must be accompanied by a parent or guardian.

Community Service hours are available, and documentation will be provided.

After submitting the form, you will be directed to sign the waiver.

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NAME

First Name

Last Name

ADDRESS

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

PHONE NUMBER

(###)

###

####

AGE

EXPERIENCE

Do you have experience with farm animals. Please list.

INVOLVEMENT

Please list all areas of Muddy Paws Farm Rescue that you would be interested in helping with.

AVAILABILITY

Please include days of the week and general time you would be available

LIMITATIONS

Please list any physical limitations that you may have

LEGAL

It is possible that the volunteer may be injured or otherwise harmed during volunteer service due to accidents, acts of nature, the volunteer’s negligent or intentional acts, or the negligent or intentional acts of others; that while Muddy Paws Farm Rescue, Inc. has taken some steps to reduce the chances of injuries or harm to the volunteer, that Muddy Paws Farm Rescue, Inc. has no control over most risks, and, thus, cannot and does not guarantee nor take any responsibility for the safety of the volunteer or the volunteer’s property while the volunteer is engaged in volunteer service; and that the volunteer must take full responsibility for himself or herself and assume the risk of harm or damage while serving by taking all necessary and reasonable precautions and acting in a manner that will help protect himself or herself and his or her property. ARE YOU WILLING TO SIGN A HOLD HARMLESS WAIVER ?

YES

Is there any additional information you wish to provide