Volunteer – Youth Application

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Volunteer – Youth Application

Volunteer Application (Youth)

Parent(s):

What to do:

- If you have more than one teen interested in volunteering, please complete one package for each youth.

- If you plan to volunteer with your youth, please complete an adult volunteer application also.

- Retain the Volunteer Guidelines. Please review the guidelines with your youth prior to coming to an event.

- Retain one copy of the permission page. Bring the second copy, signed, to the first event at which your youth will be volunteering. We must have this before the young adult can volunteer.

Youth:

Please help your parent complete the application. We look forward to meeting you. Welcome aboard!

1Basics - For Parents

2Youth Information - Animals

3Youth Information - Interests

4Comments

5Youth Volunteer Wish List

6Confirmation

BASICS - FOR PARENTS
PARENTS: Thank you for your interest in Pet Harbor Rescue. We are a nonprofit animal rescue organization for dogs, particularly Siberian Huskies, and cats. We offer volunteer opportunities for young adults/teenagers. If your young adult/teenager age 14-17 wants to volunteer, please read and complete this form, sign it, and return it to us. We reserve the right to set different age requirements for different types of volunteer activities.
Your Name*
First Last
Are you:*
- Parent
- Legal Guardian
Youth's Name:*
I give permission for the following youth to participate in Pet Harbor's activities.
First Last
Youth's Birth Date*
MM slash DD slash YYYY
Email*
We have a volunteer listserv where we post volunteer opportunities and other information for volunteers. Is the email address you listed above the email address you would like to be included in the listserv distribution?
- Yes
- No
We have an updater listserv where we post the updates from our adopters. Is the email address you listed above the email address you would like to be included in the listserv distribution?
- Yes
- No
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Home or Cell Phone*
Whatever number is best to reach the youth
Emergency Number*
Whatever number is best to reach the parent

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PERMISSION AND RELEASE OF LIABILITY*
In consideration of Pet Harbor Rescue offering this volunteer opportunity, I/we agree to the following, intending to be legally bound:
1. My/our young adult/teenager seeking to volunteer has enough experience with dogs and/or cats and is mature enough to volunteer with Pet Harbor and to participate in activities with dogs and puppies of all sizes and/or cats and kittens.
2. Whenever my/our young adult/teenager participates in Pet Harbor's activities, I/we hereby release and agree to indemnify, defend, and hold harmless Pet Harbor, its directors, officers, agents, and volunteers, and its and their heirs, successors, assigns, and personal representatives, or the owner(s) of any location where Pet Harbor events are held from and against liability for any injuries, damages, liabilities, losses, judgments, costs, or expenses whatsoever (the "Losses"), which such young adult/teenager or any pet or other person might suffer or sustain except any Losses which are the result of Pet Harbor's gross negligence or intentional misconduct.
3. I/We acknowledge that there are risks that the young adult/teenager could be bitten, scratched, injured, or frightened by dogs/puppies and/or cats/kittens and I/we assume such risks.
4. I/We have accurately and truthfully completed this Permission and Release Form.
5. This Permission and Release Form is binding upon me, my spouse/partner, and my and his or her respective heirs, successors, assigns, executors, and personal representatives.
6. My teenager is connected with a home-based rescue as defined under Virginia law, specifically Pet Harbor Rescue and Referral, Inc. as a volunteer. With my signature below, I attest that my teen has never been convicted of animal neglect, abandonment, or cruelty.
7. I/We grant permission to Pet Harbor to use photographs on its website or other internet presence or advertising/promotional materials that may contain images of my teenager.
I/We grant our permission and agreement to the seven statements immiediately above by indicating "Yes" below or do not grant my/our permission and agreement to the seven statements immiediately above by indicating "No" below.
- Yes
- No
Signature*
By typing my name below, I signify I am the parent or legal guardian of the youth herein named and do grant my permission for said youth to volunteer for Pet Harbor Rescue.
Second Signature
By typing my name below, I signify I am a parent or legal guardian of the youth herein named and do grant my permission for said youth to volunteer for Pet Harbor Rescue.
Name
This field is for validation purposes and should be left unchanged.

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Volunteer – Youth Application

Volunteer Application (Youth)

BASICS - FOR PARENTS

YOUTH INFORMATION - ANIMALS

YOUTH INFORMATION - INTERESTS

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