Volunteer Release

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Date(Required)

MM slash DD slash YYYY

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

MHCR utilizes a Facebook group for our volunteers and fosters. Please enter your Facebook name below:(Required)

How would you like to help?(Required)

Perform home checks

Help out at events

Transport dogs locally

Transporting dogs - longer trips

Fostering (please do a foster application, as well)

Grant writing or donation solicitation

Since you selected Home Checks, do you have a work address or a secondary address you visit frequently that we can save on our home check map?

Street Address Address Line 2 City State ZIP Code

How Did You Hear About MHCR?(Required)

Search Engine (Google, Bing, etc)

Facebook

Instagram

I am a current volunteer

MHCR Adopter or foster

Event

Other

I acknowledge that my services are provided strictly on a volunteer basis, there are inherent risks of injury, including physical harm caused by animals. On behalf of myself (and my minor children), I hereby release, discharge, and forever hold harmless MHCR, its directors, volunteers, successors, and assigns from any and all claims, causes of action, damages, or any nature of cause, including costs and attorneys fees incurred, based on damages or injuries in any way connected with services for MHCR, including but not limited to animal bites, accidents, illnesses, or injuries.(Required)

I agree

I understand that public relations are an important part of volunteering at MHCR. On behalf of myself (and my minor children), I allow MHCR to use any photographs of me or my family for public relations efforts. I will represent the rescue with the utmost of caution, class, and respect while performing services for MHCR and on my own social media networking sites.(Required)

I agree

Typing and signing my name below shall serve as my electronic signature. By signing such, I hereby give my consent to perform volunteer services for Mile High Canine Rescue, Inc. (herein referred to as MHCR). I fully understand and acknowledge that my services are to be performed subject to all rules and regulations (which may be modified from time to time), whether verbal or otherwise set by MHCR or its representatives. I understand that failure to do so may result in my immediate termination as a volunteer.(Required)

First Last Date of Birth

Signature(Required)

Names of Related Minor Children that will be covered under this release. Please only list those that are biologically related or you are a legal guardian of.

I understand that minors under the age of 18 are not allowed to be dog handlers at official MHCR events. This includes handling a foster dog that resides in their own home at official MHCR events.(Required)

I agree

Mile High Canine Rescue will be contacting you with further communication.