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Required fields are marked with an asterisk (*). First Name *
Last Name *
T-Shirt Size (for Dog Jog or other events) *
Pronouns
What is your mailing address? *
City *
State *
Zip Code *
Birth Date *
A valid date as MM/DD/YYYY (for example: 11/30/2015)
Do you have any allergies or food requirements? i.e. vegan, vegetarian
Emergency Contact Name *
Emergency Contact Phone Number *
Relationship to Emergency Contact. They are my...
If you are employed, where do you work?
If you are in school, where do you attend?
What special knowledge or experience do you have? i.e. attending vet school, farm background, grant writing, fundraising, marketing etc
What is your general availability for volunteering? Select all that apply.
What part of the day on weekends are you most available?
Which parts of the day are you most available on week days (M-F)?
How long do you plan to volunteer with us? *
Are you interested in Fostering? *
Would you like to be added to the BMHS Volunteer Facebook group for updates? *
Where did you hear abut our Volunteer Program? *
Is this service for Court Ordered/Probation Service Hours? *
If yes, please explain. We are unable to accept volunteers with violent offenses or cases involving animals or children. *
Please include your Probation Officers information. Name, phone number, email, etc. *
How many hours do you need to complete? *
Waiver
Volunteer Application Waiver
In anticipation of being accepted into the Blue Mountain Humane Society’s Volunteer Program, please read and sign the agreements below:
ACKNOWLEDGMENT OF THE ROLE OF A VOLUNTEER:
I agree to abide by the policies and procedures presented to me at volunteer orientation and any subsequent training. It is my responsibility as a volunteer to complete orientation.
I will take any ideas, constructive comments, suggestions and criticism directly to the Volunteer Manager, unless otherwise suggested.
I agree to be supervised by the staff at the Blue Mountain Humane Society and to make the best, most productive use of my time while volunteering.
I hereby acknowledge that I have voluntarily requested to participate in volunteer activities, including but not limited to, animal care, administrative assistance, special events, and outreach programs. I also understand I will not receive compensation from BMHS for duties performed as a volunteer at the BMHS Shelter.
ACKNOWLEDGMENT OF RISK INVOLVED:
I am aware that volunteer tasks may be hazardous, and I am voluntarily participating in this role with the knowledge of the risk involved. I hereby agree to accept any and all risks of injury or death resulting from said tasks.
I authorize Blue Mountain Humane Society (BMHS) to seek medical treatment in case of accident, injury or illness.
LEGAL ACKNOWLEDGMENTS:
As lawful consideration for being permitted by BMHS to participate in the activities on a volunteer basis, I hereby agree that I, my heirs, distributes, guardians, legal representatives and assigns will not make a claim against, sue, attach the property of, or pursue prosecution of BMHS or any of the corporate agents, officers or directors of BMHS, for the injury or damage resulting from the negligence or other acts, or defective conditions, howsoever caused by any employee, agent, director, officer or contractor of BMHS as a result of my participation in volunteer activities. In short, I will not sue BMHS.
I hereby, in addition release and discharge BMHS and any affiliated organizations, from all actions, claims or demands which I, my heirs, distributes, guardians, legal representatives, or assigns now have or may hereafter have for injury or damage resulting from my participation in the volunteer activities.
I also give my permission for treatment by a professional medical person and for hospital admission, if necessary. The undersigned agrees to be the party responsible for all medical expenses incurred, and represents that they are legally authorized to make this agreement.
Volunteer Application Waiver
In anticipation of being accepted into the Blue Mountain Humane Society’s Volunteer Program, please read and sign the agreements below:
ACKNOWLEDGMENT OF THE ROLE OF A VOLUNTEER:
I agree to abide by the policies and procedures presented to me at volunteer orientation and any subsequent training. It is my responsibility as a volunteer to complete orientation.
I will take any ideas, constructive comments, suggestions and criticism directly to the Volunteer Manager, unless otherwise suggested.
I agree to be supervised by the staff at the Blue Mountain Humane Society and to make the best, most productive use of my time while volunteering.
I hereby acknowledge that I have voluntarily requested to participate in volunteer activities, including but not limited to, animal care, administrative assistance, special events, and outreach programs. I also understand I will not receive compensation from BMHS for duties performed as a volunteer at the BMHS Shelter.
ACKNOWLEDGMENT OF RISK INVOLVED:
I am aware that volunteer tasks may be hazardous, and I am voluntarily participating in this role with the knowledge of the risk involved. I hereby agree to accept any and all risks of injury or death resulting from said tasks.
I authorize Blue Mountain Humane Society (BMHS) to seek medical treatment in case of accident, injury or illness.
LEGAL ACKNOWLEDGMENTS:
As lawful consideration for being permitted by BMHS to participate in the activities on a volunteer basis, I hereby agree that I, my heirs, distributes, guardians, legal representatives and assigns will not make a claim against, sue, attach the property of, or pursue prosecution of BMHS or any of the corporate agents, officers or directors of BMHS, for the injury or damage resulting from the negligence or other acts, or defective conditions, howsoever caused by any employee, agent, director, officer or contractor of BMHS as a result of my participation in volunteer activities. In short, I will not sue BMHS.
I hereby, in addition release and discharge BMHS and any affiliated organizations, from all actions, claims or demands which I, my heirs, distributes, guardians, legal representatives, or assigns now have or may hereafter have for injury or damage resulting from my participation in the volunteer activities.
I also give my permission for treatment by a professional medical person and for hospital admission, if necessary. The undersigned agrees to be the party responsible for all medical expenses incurred, and represents that they are legally authorized to make this agreement.
Check here to show you accept the terms stated above for yourself or for a minor Volunteer for which you are the parental guardian.
Volunteer Application Waiver
In anticipation of being accepted into the Blue Mountain Humane Society’s Volunteer Program, please read and sign the agreements below for the minor under your care:
ACKNOWLEDGMENT OF THE ROLE OF A VOLUNTEER:
I agree to abide by the policies and procedures presented to me at volunteer orientation and any subsequent training. It is my responsibility as a volunteer to complete orientation.
I will take any ideas, constructive comments, suggestions and criticism directly to the Volunteer Manager, unless otherwise suggested.
I agree to be supervised by the staff at the Blue Mountain Humane Society and to make the best, most productive use of my time while volunteering.
I hereby acknowledge that I have voluntarily requested to participate in volunteer activities, including but not limited to, animal care, administrative assistance, special events, and outreach programs. I also understand I will not receive compensation from BMHS for duties performed as a volunteer at the BMHS Shelter.
ACKNOWLEDGMENT OF RISK INVOLVED:
I am aware that volunteer tasks may be hazardous, and I am voluntarily participating in this role with the knowledge of the risk involved. I hereby agree to accept any and all risks of injury or death resulting from said tasks.
I authorize Blue Mountain Humane Society (BMHS) to seek medical treatment in case of accident, injury or illness.
LEGAL ACKNOWLEDGMENTS:
As lawful consideration for being permitted by BMHS to participate in the activities on a volunteer basis, I hereby agree that I, my heirs, distributes, guardians, legal representatives and assigns will not make a claim against, sue, attach the property of, or pursue prosecution of BMHS or any of the corporate agents, officers or directors of BMHS, for the injury or damage resulting from the negligence or other acts, or defective conditions, howsoever caused by any employee, agent, director, officer or contractor of BMHS as a result of my participation in volunteer activities. In short, I will not sue BMHS.
I hereby, in addition release and discharge BMHS and any affiliated organizations, from all actions, claims or demands which I, my heirs, distributes, guardians, legal representatives, or assigns now have or may hereafter have for injury or damage resulting from my participation in the volunteer activities.
I also give my permission for treatment by a professional medical person and for hospital admission, if necessary. The undersigned agrees to be the party responsible for all medical expenses incurred, and represents that they are legally authorized to make this agreement.
