HuMANE SOCIETY (115 WC)

VOLUNTEER PROGRAM

I _____________________________ (print) agree to perform volunteer work in activities of benefit to the community, specifically the SDAC or HSWC.

I agree to waive all liability and to hold harmless SDAC, HSWC, and the various departments where I perform volunteer duties for any accident or injury to my person or property incurred while I am performing volunteer work.

I agree to abstain from the use and influence of alcohol and mind altering drugs while I am performing volunteer work.

I agree to perform this work as directed by SDAC and the departments where I perform volunteer work.

I will notify both SDAC and the department to which I am assigiied if I am unable to work during the scheduled time.

I agree that my hours can be used for spay/neuter for someone else that can’t or won’t do a work-off for a spay or neuter.

Initial one_____YES / _______ NO Its ok to use my ( or child’s ) name and or pictures in HSWC publications and/media releases.

I hereby acknowledge that I have read and fully understand this agreement, and do agree to complete my volunteer work as scheduled.

Phone #______________________ Address _______________________________________