** A COPY OF YOUR PHOTO ID IS REQUIRED UPON VOLUNTEER APPROVAL**

Mark your CCARE volunteer interests below (all are unpaid volunteer activities).

Your Emergency Contact Information

Availability to volunteer - type your availability during the week (mornings, afternoons, and/or evenings).

Please be as specific as possible so we know when to contact you. If you can list specific times for each day, that is preferred.

VOLUNTEER AGREEMENT (READ CAREFULLY)

In understand that the abbreviation “CCARE” represents Clay County Animal Rescue & Education Center, Inc., its Board of Directors, Members and paid Staff.

I certify that the answers given by me to all questions on this application and any attachments are, to the best of my knowledge and belief, true and correct, and that I have not knowingly withheld any pertinent facts or circumstances. I understand that any omission or misrepresentation of fact in this application may result in refusal of or separation from volunteer service upon discovery thereof.  

I authorize CCARE to conduct a criminal background check on me.

I agree to attend necessary training/orientation before doing any volunteer work. I agree to be supervised by Shelter Director or CCARE Board of Directors. I understand that when handling animals there is a risk of injury, exposure to disease, and physical harm.  I am aware that some of the animals may not have had their rabies shot. I agree to report any problems relating to animal care, animal behavior, volunteer issues, or shelter issues to the Shelter Director or CCARE Board of Directors. I agree to follow the CCARE Manual concerning policies and procedures, rules and regulations, and understand that failure to do so will result in possible release of volunteer duties. I agree to do all volunteer duties without pay or compensation.

In consideration of my volunteer participation with CCARE, on behalf of myself, my heirs, personal representatives and executors, I hereby forever release and discharge Clay County Animal Rescue & Education Center, Inc., and its Board of Directors, Members, and paid Staff, and any facility where adoption or fundraising events are held, from any and all liability arising from accident, injury and illness that I may suffer as a result of my volunteering. I further agree to indemnify and hold harmless Clay County Animal Rescue & Education Center, Inc., and its Board of Directors, Members, and paid Staff, and any facility where adoption or fundraising events are held, from any and all claims, costs, and attorney fees, resulting from injuries, damages, and losses sustained by me arising out of, connected with, or in any way associated with CCARE volunteer activities. In the event of emergency, I authorize CCARE officials to secure from any licensed hospital, physician, or medical personnel any treatment deemed necessary for me immediate care and agree that I will be responsible for payment of any and all medical services rendered, including all costs, claims and attorney fees.

I understand that as an unpaid volunteer I am NOT covered by Kansas Worker’s Compensation law.

This application is not valid without signature. For emailed registration, signature provided by transmittal will stand as a valid signature and will be held as binding and will represent consent of waiver here within.