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.

    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