Volunteer Application Form

Please complete this application form if you are interested in becoming a Pensacola Humane Society volunteer. Once you complete the form, click the submit button at the bottom. After you have submitted your form please email the Volunteer Coordinator at Volunteer@pensacolahumane.org to schedule your orientation.

General Information

Your personal information is secure and private. Please fill out all required fields to continue.

First name:

Last name:

Middle name:

Nickname:

Street 1:

Street 2:

City:

State:

* Zip: *

Cell phone:

* OK to call me here

Please enter a password that:

Is between 5 and 30 characters long

Password:

Confirm password:

Date of birth:

Age:

T-Shirt size:

Prior Work and Volunteer Experience

Write down your prior work and volunteer experience in to the box below.

Interest in Volunteering

What activities or jobs are you interested in doing as a volunteer?

Required Hours

If you are required to gain volunteer hours, please indicate which category you fall into.

Volunteer Hours Required For:

Assignment Preference

The following volunteer assignments may currently be available. You may click the assignment names to learn more about that assignment. Check all assignments that are of interest.

Emergency Contact

In the event of an emergency whom should we notify?

First name:

Last name:

Street 1:

Street 2:

City:

State:

Zip:

Home phone:

Work phone:

Cell phone:

Relationship:

Email

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.

Email address:

Volunteer Information Center

We provide an online "Volunteer Information Center" where volunteers may check their schedules, update their information, and receive messages. Please select the password you would like to use to access the online Volunteer Information Center.

Liability Waiver

This document may be referred to herein as the "Release." "Pensacola Humane Society, Florida, Inc," shall be described

herein as the "Humane Society." The party releasing the Humane Society may be referred to herein as the "Releasor" and may be any

volunteer, vendor, or other person(s) who may be present at any Humane Society function or location where the Humane Society is

carrying out any functions or operations whatsoever. If you are signing this release YOU ARE IRREVOCABLY RELEASING THE

HUMANE SOCIETY FROM LEGAL CLAIMS. READ THIS RELEASE CAREFULLY.

This release shall be effective on the date that it is executed by the Releasor. Consideration for this release shall by the Humane

Society's allowance of the Releasor to work as a volunteer, vendor, or otherwise be involved with the Humane Society (to include

but not limited to attendance at Humane Society functions or be present at property owned or otherwise under the control of the

Humane Society). The parties agree that there is sufficient consideration to support this Release and hereby waive any challenge as

to inadequate consideration. The Releasor is advised and understands that the Humane Society is a non-profit organization which is

dedicated to the humane treatment of animals. The Releasor further acknowledges that most animals which the Releasor may be in

contact with are of no danger. However, the Releasor is advised and understands that animals can be unpredictable. The Humane

Society has no way of knowing the complete history or temperament of all animals under its care or charge. The Humane Society

will take precautions but accidents and incidents can and do occur, including serious injuries and bites. The Releasor agrees that

the Humane Society shall not be liable for any injuries or any damage (whether caused by an animal or not) or be subject to any

claim, demand, injury or damages, whatsoever, including without limitation, including those damages from acts of passive or

active negligence on the part of the Humane Society, its board, officers, employees, volunteers, or agents. The Releasor does hereby

expressly forever release and discharge the Humane Society from all such claims, demands, injuries, damages, actions, or causes of

actions. Releasor acknowledges that he/she has carefully read this Release and fully understands that this is a complete waiver and

release of liability. It is understood and agreed the intent of this release is to fully and completely release the Humane Society from

any and all liability, including its own negligence, to include but not limited to the negligence of the Humane Society board, officers,

employees, volunteers, or agents.

To the extent that there is any disagreement between the Releasor and the Humane Society, any and all disputes of any nature shall

be resolved by binding arbitration consistent with Florida Law. The parties hereby waive their right to a jury trial and agree that any

all disputes will be resolved by binding arbitration.

This Release and Arbitration Agreement shall be in effect in perpetuity once executed.

The Releasor is hereby advised of the right to seek counsel before executing this Release and Arbitration Agreement and is

encouraged to do so. The Releasor understands and acknowledges that he/she is giving up important rights by executing this

agreement. The Releasor attests that he/she is at least 18 years of age and if not, a legal parent or guardian has agreed to this release

by signature below. Persons under 18 are not permitted to participate in Humane Society activities as volunteers or vendors without

parental consent and release.

I consent and give permission to the Pensacola Humane Society and those acting under its authority to photograph/video and use

the likeness of myself or my accompanying party in connection with the Pensacola Humane Society. By signing below, I certify that I

release Pensacola Humane Society, any affiliates, officers, directors, agents and employees, and those acting under its authority, from

all debts, claims and liabilities of any kind arising out of or in connection with the use and publication of the photography/likeness

referred to above.

I Agree