Volunteer Application – Big Fix Cat Rescue

Name *

First

Last

Email *

Date of Birth

mm/dd/yyyy

Address *

Street, City, Province, Postal Code

Contact Phone Number *

inc area code

Cell Phone Number

inc area code

Employer

Job Title

May we contact your employer for a reference?

Yes
No
N/A

If yes, Please provide name and contact phone number of employer contact

Please list any allergies or physical restrictions

How did you hear about us? *

Why do you want to volunteer with us? *

Do you work with any other rescues? *

Yes
No

If yes, Please provide contact information for that organization including name and phone number

Please list any pets you currently own (or have owned in the past)

Animal Experience (check all that apply)

If you would like to comment more on your experience with the above, please do so here

If you listed other, please explain

Other experience, Special skills, Strengths, Talents (check all that apply)

If you would like to comment more on your experience with the above, Please do so here

If you listed other, Please explain

Volunteer work preferences (check all that apply)

When are you able to volunteer (check all that apply)

Would you be willing to volunteer off the rescue premises *

Yes
No

Reference #1 (Name, phone number, and relationship to self)

Reference #2 (Name, phone number, and relationship to self)

Reference #3 (Name, phone number, and relationship to self)

Any additional comments

In case of emergency, who should we contact (Name and phone number)

This volunteer agreement is entered into as of the date set forth below by The Big Fix Cat Rescue (BFCR). Whereas, the volunteer has voluntarily contacted BFCR and has expressed an interest in working with cats in the care and custody of BFCR. In consideration of BFCR agreement to allow the volunteer to view and/or interact with such cats, the volunteer hereby, for his/her heirs, his/her personal representatives, and him/herself represent and warrant as follows: 1. The volunteer is fully aware of the risks that cats may pose and have elected to view and/or interact with one or more cats in the care of BFCR voluntarily. The volunteer knowingly assumes all risks that exposure to cats may pose, including but not limited to serious bodily injury and/or death. 2. THE VOLUNTEER HEREBY WAIVES, RELEASES, DISCHARGES, HOLD HARMLESS, AND PROMISES TO INDEMNIFY AND NOT TO BRING TO SUIT AGAINST THE BIG FIX CAT RESCUE, it’s directors, officers, volunteers, and all other agents, and attorney for any of the referenced parties and any other partied acting for or on behalf of the referenced partied from an and all rights and claims which the volunteer has or which may hereafter accrue to the volunteer and from any and all damages which may be sustained by the volunteer directly or indirectly in connection with, or arising out of, the volunteer’s exposure to such cats or events held by the rescue.

By writing your name here, you are agreeing to the above liability waiver. *

By writing your name here, you are stating that you are the parent/guardian of the above applicant and you grant your permission for them to volunteer with the Big Fix Cat Rescue. *

Anything else you would like to tell us, please enter it here