See available time slots and sign up for volunteer shifts at www.signupgenius.com/go/904054aaeaf22a2f49-volunteering Please enable JavaScript in your browser to complete this form.Name *FirstLast Volunteer Pets & People Humane Society, Inc Volunteer Program Waiver of Liability The undersigned volunteer (“Volunteer”) has elected to participate in the Pets & People Humane Society, Inc (PPHS) Volunteer Program. Volunteer 1. understands that there are certain risks inherent in handling animals and accepts these risks. 2. will not hold PPHS, its directors, officers, employees, agents, contractors, or volunteers liable for any illness, injury or disease that Volunteer might sustain or contract as a participant in the PPHS Volunteer Program. 3. agrees that PPHS shall not be responsible or liable for any loss, damage or expense arising out of the Volunteer’s participation in the Volunteer Program. Permission is granted to utilize any medical emergency services that PPHS deems necessary to treat injuries sustained by Volunteer. 4. agrees to be personally responsible and liable for any and all injury, harm or other incident that may occur before, during and after transit to PPHS facility or sponsored event. 5. understands if Volunteer exhibits behaviors considered by PPHS to be dangerous to him/herself, to the animals and/or to other volunteers, he/she may be removed from the program. I have read and fully understand the above waiver and release of liability and agree to participate in the PPHS Volunteer Program. Electronic signature of Volunteer. I certify that I have read this agreement and that I agree and will comply with the terms and conditions as set forth therein. *Electronic Signature Agreement. By typing your first and last name here, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By typing your first and last name and selecting "Submit" you consent to be legally bound by this Agreement's terms and conditions. Date *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Medical InformationVolunteer has the following allergies or medical conditions:Emergency Contact Name *FirstLastEmergency Contact Phone *Physician's Name and Phone *Submit
