Volunteer Group Application Form

This form is for groups only. A group is more than one individual. Examples might be 12 students from the Daytona State Photography Club or 8 people from Carmax, etc. These groups volunteer their time for specific projects. If you have a group that would like to volunteer your time, please complete this form, not the form for individual volunteers.

Group Name

First name:

Last name:

Date of birth:

Gender:

T-Shirt size:

Representing

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Contact Information

Availability

How many people will volunteer?

Type of hours?

For work or for school?

Time you would like to volunteer?

We are open to the public from noon to 6 pm, 7-days a week, but volunteers can help from 8 am to 3 pm Monday-Friday.

Have you had previous experience with animals?*

Volunteer Interests

What is it your group would like to do for Halifax Humane Society?

Preferred date(s) to volunteer-

Emergency Contact:

First name:

Last name:

Street 1:

Street 2:

City:

State:

Zip:

Home phone:

* OK to call here

Work phone:

OK to call here

Cell phone:

* OK to call here

Relationship:

How many hours?

How many hours will your group volunteer on the day you wish to volunteer?

This is a required question.

I hereby agree to accept a position as a volunteer worker for the Halifax Humane Society (hereinafter referred to as HHS), and in so doing, I agree to comply with all of the rules and regulations which may be established from time to time by HHS. I understand that failure to do so may result in my immediate termination as a volunteer.

I acknowledge that my services are provided strictly on a volunteer basis, without any pay or compensation of any kind, and without liability of any nature on behalf of HHS, all services to be performed by me at my own risk.

I acknowledge that I will not have friends or family members join me in my volunteer duties at HHS or at HHS Events unless prior approval from Volunteer Manager is given and they have attended Orientation classes.

I recognize that in handling animals and performing other volunteer tasks there exists a risk of injury including physical harm caused by the animals.

I understand that public relations is an important part of volunteering at HHS. On behalf of myself, my heirs, personal representatives and executors, I allow the shelter to use any photographs taken of me for use in public relations efforts.

I understand that any and all information shared with me by any staff member or volunteer of HHS is to be considered confidential. Sharing information without the knowledge and consent of HHS corporate management will be considered grounds for termination of my volunteer participation.

I Agree