Summarize special skills and qualifications you have acquired from previous volunteer work, or through other activities, including hobbies or sports
Summarize your previous volunteer experience.
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. (If volunteer under 18, Parent or Guardian has fully read the above and signed on behalf of underage volunteer.) I acknowledge that my children may be photographed during volunteer events and the photos may be utilized for the packofdogs.org website.
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Thank you for completing this application form and for your interest in volunteering with us.
I, the undersigned, wish to volunteer my services to various community service organizations and projects utilizing the Pack of Dogs “Doggie Database” site. In consideration for allowing me to participate in Pack of Dogs (“POD”) projects, and in consideration of Pack of Dogs
(“POD”) locating, arranging, coordinating and/or making available volunteer opportunities, I hereby agree and release Pack of Dogs (“POD”) as follows:
I acknowledge and agree that the nature of the volunteer services which are typically performed by Pack of Dogs (“POD”) volunteers and which may be performed by me as a POD volunteer, may involve a) physical activity (including without limitation work with heavy tools and materials), b) contact with unidentified and unfamiliar persons, c) travel to and from various unspecified locations, and d) other potential risk of injury. Notwithstanding the preceding sentence, I willingly and freely agree to volunteer and hereby assume any and all risk in connection with my volunteer efforts or participation, including without limitation risk of any accident or injury to person or property which I may sustain in connection with my participation as a Pack of Dogs (“POD”) volunteer or in any POD related project or activity. In addition to the foregoing, I will only participate in POD activities and projects that I am physically capable of participation without risk of injury to myself.
I hereby acknowledge that Pack of Dogs (“POD”) is an organization involved in assisting organizations and associations which may from time to time be involved in child care and related matters. I hereby confirm, represent and warrant that I have never been convicted of a violent crime, child abuse or neglect, child pornography, child abduction, kidnapping, rape or sexual offense or any other violation of law, nor have I ever been ordered by a court to receive psychiatric or psychological treatment in connection therewith.
I hereby release Pack of Dogs (“POD”) and its directors, officers, partners, agents, employees, successors, assigns, licensees, sponsors, donors, representatives, guests, and affiliates from, and covenant not to sue for, any and all claims and causes of action, whether known or unknown, arising out of, based upon or relating to my participation as a POD volunteer or in any POD related activity or project, including, without limitations, any negligence of Pack of Dogs (“POD”), its officers, directors, partners, employees, agents, successors, assigns, licensees, sponsors, donors, representatives, guests, and affiliates. Furthermore, to the extent I utilize my own vehicle for transportation or other purposes, in connection to a POD project or activity, I hereby represent and warrant that I am, and the vehicle is, fully insured to the extent required by law.
I hereby agree to indemnify and hold Pack of Dogs (POD) its directors, officers, partners, agents, employees, successors, assigns, licensees, sponsors, donors, representatives, guests, and affiliates harmless against any and all liabilities, claims, actions, damages, losses, judgments, fines, deficiencies, injuries, suits an proceedings at law or in equity, costs, or any other expense, fee or charge of any character or nature through all levels of appeal and any amounts paid in settlement of the forgoing which may be imposed upon, incurred or threatened by or upon Pack of Dogs (“POD”) (or any related part as referenced above) or any of its property in respect to, or arising out of, my participation, as a Pack of Dogs (“POD”) volunteer or in any POD related project or activity.
I further irrevocably grant to Pack of Dogs (“POD”), its assigns and successors, my consent and full right to: use my name, photograph, likeness, image, voice and biography in and all media, publications, advertising and publicity, in connection with my participation with Pack of Dogs (“POD”) and any POD related activity or project.
This release shall inure to the benefit of Pack of Dogs (POD) and it successors, licensees, agents, employees, affiliates, and assigns. This release shall be governed by the laws of the State of Florida.