Volunteer Application

First Name

Last Name

Date of Birth(Required if under (18) eighteen) Volunteers under the age of 16 must be accompanied by an adult.

Email Address

Mobile Phone

Home Phone (if different)

Emergency Contact: Name and Phone #

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Select from the following if you are doing community service:School CreditCourt Mandate

Do you have any experience that you feel would benefit the shelter? Or questions or comments?

I understand that Oregon Coast Humane Society (OCHS) expects high standards of moral, ethical, and humane treatment of the animals under its care. I agree to treat all animals, people, and property at OCHS with respect. *Yes

I have been given the Volunteer Handbook and agree to familiarize myself with it and comply with all policies and procedures (current & future) and abide by instructions from OCHS staff. *Yes

I understand that public relations is an important part of volunteering and give permission for OCHS to use any photographs taken of me for use in public relations efforts. *Yes

I understand that I may gain access to property owned by OCHS, including intellectual property and confidential information. I agree to refrain from misuse or conversion of such property, and further agree to refrain from disclosing any confidential or private information. *Yes

I acknowledge that OCHS retains the right to terminate my volunteer involvement at any time and for any reason. *Yes

I acknowledge that I may be working with and around animals and that animal behavior is not entirely predictable, and accidents and injuries, including bites and scratches, may occur. *Yes

I acknowledge that the areas in which I may be working will be wet, slippery, or icy and that there is a danger of slipping, falling, or otherwise injuring myself. *Yes

I, on behalf of myself, my personal representative, assigns, heirs, and next of kin, do hereby release, hold harmless and indemnify Oregon Coast Humane Society, its employees, directors, officers, members, and volunteers, from any and all liability, demands, claims, and causes of action arising out of, or related to, any loss, property damage, or personal injury that may be sustained by me or any property belonging to me which may occur while acting as a volunteer. *Yes

Volunteer Application

Volunteer Application

Shelter

Thrift Store

Clinic

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