subject_line
Volunteers save lives!
Volunteer Application
Name
*
Email Address
*
Cell Phone
*
Best Time to Contact
*
Morning
Afternoon
Evening
Are you 18 years or older?
*
Yes
No
Street
*
City
*
State
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Zip
*
Length of commitment
*
Consistent basis (weekly)
As needed, such as events, or last minute need
Short period, to fulfill a school or work requirement
Have you previously done volunteer
work an animal organization?
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Yes
No
Where did you hear about us?
*
Flyer or posting
Friend or family
Personal inquiry
Website advertisement
Other
Other
What days of the week are you
consistently available?
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What time of day are you available?
*
Mornings (8am-11am)
Mid Day (11am-2pm)
Late Afternoon (2pm-5pm)
Evenings (5pm-9pm)
What areas of work would you be interested in?
(check all that apply)
*
Fund Raising
Cat Care
Office Help
Off Site Events
Fostering
Farm Animal Care
Maintenance/Mechanical
Do you have a Facebook account? We have a Facebook group for volunteers which has some updated news- if you would like to be added please request access and you will be added. Search "Berkshire Farm Animal Sanctuary Volunteers"
*
I do not have a Facebook
I will request access
I will request access
Do you have a Facebook account? We have a Facebook group for volunteers which has some updated news- if you would like to be added please request access and you will be added. Search "Berkshire Farm Animal Sanctuary Volunteers"
*
I do not have a Facebook
I will request access
I will request access
Comments/Additional Information
Whenever I, participate(s) in the Sanctuary activities, I hereby release, forever discharge and hold harmless the Center, its directors, employees, and volunteers, and its and their heirs, successors, assigns, and personal representatives, from and against liability for any injuries, damages, liabilities, losses, judgments, cost or expenses whatsoever (the “Losses”), which I might suffer or sustain. Tetanus Information: I understand that because I may handle animals, it is important to discuss the tetanus vaccine with my physician. I release Berkshire Farm Sanctuary 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. I acknowledge that there are risks that I could be bitten, scratched, injured or frightened by the animals and we/I assume such risks. In the event of an emergency, I hereby give Berkshire Farm Sanctuary permission to seek medical attention for myself. I give permission for Berkshire Farm Sanctuary to use my photograph for use in any Sanctuary publication, educational, or advertising purposes the Sanctuary may designate. I acknowledge that I, as a volunteer of Berkshire Farm Sanctuary, I do not have permission to take photographs or video of any privately owned animals at the Sanctuary. I acknowledge and understand that as a volunteer of Berkshire Farm Sanctuary, I am not covered by Berkshire Farm Sanctuary workers compensation or any other insurance policy for any damages or injuries I may sustain during my volunteer activities. I understand that participating in Berkshire Farm Sanctuary's activities involves the risk of injury to [to my child under 18 years of age], whether [my child under 18 years of age] or someone else causes it. Specific risks vary from one activity to another, and the risks range from minor injuries to major injuries, including catastrophic injuries. In consideration of [my child under 18 years of age] participation in the activities offered by Berkshire Farm Sanctuary, I, for [on behalf of my child under 18 years of age] understand and voluntarily accept the risks and agree that Berkshire Farm Sanctuary, its officers, directors, employees, volunteers, agents and independent contractors, will not be liable for any injury, including without limitation, any personal, bodily or mental injury, any economic loss or any damage to [my child under 18 years of age] resulting from any negligence of Berkshire Farm Sanctuary or anyone acting on Berkshire Farm Sanctuary’s behalf. - I have read, understand and agree to the above information. I certify that the information provided here is accurate and complete. I authorize reference and employment verification and background checks as necessary for specific positions. By signing below, I acknowledge and agree that I have read the statement above, understand the nature of the activities and risks, and agree to the terms. Volunteer Signature, or if under 18 years, Parent or Guardian Signature *
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