For the purpose of obtaining permission from Valley Animal Haven of 990 E. D Street, Lemoore, CA 93245 to perform services for the Organization. I state that I have no physical or mental handicaps or impairments which might adversely affect the performance of the activities which I desire to undertake on behalf of the Organization. I propose to serve without compensation as a volunteer worker for such a period(s) and at such time(s) as may be mutually agreed upon by me and the Organization. I understand my gratuitous voluntary services will be performed at the headquarters for the Organization and at such other locations to which I may be assigned in the course of the Organization's operating procedures. I am aware of the dangers which are inherent in the handling and the presence of animals and the hazards which are encountered in the course of the normal pursuit of life and living. Therefore, I will abide by the Volunteer Handbook and observe all other policies and procedures of Valley Animal Haven.

In consideration of the Organization's willingness to delegate to me assignments of work within the scope of the Organization's charitable purposes, subject to the revocation of such activities by me or by the Organization commitments:

1. I assume responsibility for all risks of loss or damage or injuries that may be suffered by me or to property owned by me or in my custody in the course of my activities on behalf of the Organization from any cause, including but not limited to ordinary negligence attributed or which might be attributed to the Organization or any of its agents, directors, officers, servants, employees, or volunteer workers, whether sustained or suffered at any premises under the Organization or at any other premises not under the control of the Organization, or when in route to or from all such places or premises by any means of travel.

2. I hereby release, discharge and indemnify the Organization and its agents, directors, officers, servants, employees, and volunteer workers of and from and in respect to any and all claims, actions and rights or causes of action, present or future, whether known, anticipated or unanticipated, on account of any personal injury, including death, or loss of, or damage or in connection with, my performance or activities as are described in this agreement.

The representations, conditions and commitments contained in this instrument shall be binding upon my heirs, next-of-kin and personal representatives.

Additionally I hereby authorize Valley Animal Haven and the media outlet to use, reproduce, and/or publish all written and/or visual materials, including photographs, which are described below) that may pertain to me or my children. I understand that this material may be used in various publications, public affair releases, or for other related endeavors. This material may also appear on the Valley Animal Haven or media outlet's internet web page. This authorization is continuous and may only be withdrawn by my specific rescission of this authorization. Consequently, Valley Animal Haven or media outlet may publish materials, use my name, my child's name, photograph, and/or make reference to me or my children in any manner that Valley Animal Haven or media deems appropriate in order to promote/publicize case information.