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Volunteer Application and Liability Release Form

2. 
4. VOLUNTEER APPLICANT INFORMATION
6. Name*
7. Parent or Guardian Name
9. Address*
11. City*
12. State*
13. Zip Code*
15. Phone Number*
16. Secondary Phone Number
18. Email*
19. Secondary Email
21. Drivers License Number
22. Date of Birth*
    Date of Birth
24. I would like to be contacted for events*

    1. Yes

    1. No
28. EMERGENCY CONTACT INFORMATION
30. Name*
31. Phone Number*
32. Relationship to volunteer*
36. Please read and acknowledge:*

    I hereby release the City of Schertz from all liability for any injury or claim of compensation related to voluntary work performed at Schertz Animal Services. I hereby certify that I have received instructions regarding the voluntary work and understand any danger that may be involved in such voluntary work. All services I am providing are entirely voluntary.

    1. I agree
38. I hereby declare that I am 18 years of age or older

    1. I agree
39. I hereby declare that I am a minor child under the age of 18 years

    1. I agree
41. I have reviewed the Schertz Animal Services Volunteer Policy and by signing below I understand that I am agreeing to uphold and follow the policy, and failure to do so may result in revocation of volunteer status by a shelter employee at any time.
43. Signature of Participant *
44. Date*
    Date
46. Signature of Parent or Guardian if under 18 years of age
47. Date
    Date
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field