Thank you for your interest in volunteering for Milo’s Dog Rescue of South Florida. This is a questionnaire to help you communicate with us what you are interested in doing, and also the Volunteer Agreement so you know what our expectations are, and what you can expect from us.

Are you 18 years of age or older?(Required)

Yes

If not 18, please have parent complete this application

Name(Required)

First Last

Please enter your Facebook name(Required)

Drivers License #(Required)

Address(Required)

Street Address Address Line 2 City State ZIP / Postal Code

Email(Required)

Cell Phone Number(Required)

Do you rent or own your home?(Required)

Own

Rent

Live with parents

I am interested in (check all that apply):(Required)

Helping at Adoption Events

Transporting Animals

Organizing Fundraising Events

Helping with Fundraising Events Other

Grant Writing

Marketing Collateral

Reason I would like to volunteer (check all that apply):(Required)

Love Animals

School Hours

To Gain experience

Other

Have you ever been convicted of a felony or crime involving or against a minor or animlas?(Required)

Yes

Emergency Contact(Required)

First Last

Emergency Contact Phone Number:(Required)

VOLUNTEER AGREEMENT

Please read carefully before selecting your answer.

You consent to the rescue screening your adoption application, including some or all of the following: checking listed references; HOA/landlord/complex; and any searchable public record.(Required)

Yes, I agree

No, I do not agree

I understand that because I may handle and/or come in contact with animals, it is important to discuss being vaccinated against tetanus with my physician. I release Milo’s Dog Rescue of South Florida from all responsibility that may occur because of my not pursuing this matter further and I understand whatever decision I make is at my own risk. I have read, understand and agree to the above tetanus information.(Required)

I acknowledge and understand that as a volunteer of Milo’s Dog Rescue of South Florida, I am not covered by workers’ compensation or any other insurance policy through Milo’s Dog Rescue for any damages or injuries I may sustain during volunteer activities. I understand that I am responsible for obtaining health insurance coverage through an independent health insurance company.(Required)

I assume the risks of being bitten, scratched, injured or frightened by cats, kittens, dogs and puppies, and any complications that may occur as a result, of my volunteer work for Milo’s Dog Rescue of South Florida. I will not hold Milo’s Dog Rescue of South Florida liable for any injuries, damages, losses, judgments, costs or expenses whatsoever, which I might suffer or sustain in connection with the performance of my volunteer activities(Required)

I agree to hold harmless Milo’s Dog Rescue of South Florida, its Board of Directors, their successors, heirs or assigns, any agent carrying out duties on behalf of Milo’s Dog Rescue, and any and all participating persons who might be claimed to be liable, whether or not herein named, from any and all actions, causes of action, lawsuits, claims and demands which I now have or may hereafter have, arising out of, or in any way relating to, any and all injuries and damages, to both person and property, and also any and all injuries and damages that may develop in the future, as a result of or in any way relating to my participation as a Milo’s Dog Rescue volunteer.(Required)

Signature(Required)

Date(Required)

Volunteer Application

VOLUNTEER AGREEMENT

Please read carefully before selecting your answer.

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