HSNWGA Volunteer Application

Thank you for offering your time! Once submitted, our Volunteer Coordinator will review your application and contact you by email upon approval. All volunteers must be over the age of 18. If age 16-18 yrs. of age, parent or legal guardian approval is required. Due to insurance requirements, those under age 16 may not volunteer.

If you are not 12 or over please do not continue. We cannot accept volunteers under age 12 for liability reasons. However many help by raising money, blanket, food and toy drives. We would love your help. You do not have to fill out this application to contribute in other ways.
Adults should receive tetanus vaccines every 10 years, as part of a tetanus, diphtheria and pertussis (Tdap) vaccine or Td vaccine. However, if you suffer a high risk wound, the CDC recommends you receive a tetanus vaccine at the time of the injury if your last vaccine was more than five years ago.
Please select any of the following offenses for which you have been convicted. Multiple selections are allowed.
Adoption days and hours are: TH 10 AM - 2 PM; Fri 2PM - 7PM; Sat 10 AM - 2 PM
Please list the name(s) of the person or organization that referred you to volunteer for us.
OFFICIAL VOLUNTEER WAIVER: I acknowledge that this volunteer work (working with animals) carries with it the potential risks of serious injury and property loss. I hereby assume all of the risks of participating and/or volunteering in this work. I realize that liability may arise from negligence or carelessness on the part of the persons or entities being released, from the dangerous propensity of simply unpredictable animals and their instincts or otherwise or from possible defective equipment or other safeguards, maintained or controlled by them or because of their possible liability without fault. I certify that I am physically fit, have no physical reason to refrain from said work and have not been advised otherwise by a qualified medical person that I cannot participate. I acknowledge that this Accident Waiver and Release of Liability form will be used by the HUMANE SOCIETY OF NORTHWEST GEORGIA, INC., OR ANY OF THEIR EMPLOYEES AND/OR VOLUNTEERS to exculpate them from any and all liability associated therewith. In consideration of my application and permitting me to participate in this work, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: A) Waive, release and discharge from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me, the HUMANE SOCIETY OF NORTHWEST GEORGIA, INC. and the following entities or persons: Their directors, officers, employees, volunteers, representatives, and agents; B) Indemnify and hold harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a result of my or any actions during said duration of my volunteering. I hereby consent to receive medical treatment, which may be deemed advisable in the event of injury, accident and/or illness during this event. I understand that at this event or related activities I may be photographed. I agree to allow my photo, video or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers and/or assigns. The HUMANE SOCIETY OF NORTHWEST GEORGIA, INC. is not obligated to provide a placement, nor are you obligated to accept the volunteer position offered. The Volunteer Coordinator of the HUMANE SOCIETY OF NORTHWEST GEORGIA, INC., with the approval of the officers, has the right to ask any volunteer to leave the organization without prior notice if he or she determines said volunteer is not following policies and procedures as set forth by the HSNWGA. The Accident Waiver and Release of Liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I hereby certify that I have read this document and I understand its contents.*
*Checking This Submit Box Serves as my official signature that I am agreeing that I have read and understand the Volunteer Waiver. Effective Date: Dated Stated at the time of the Submission of This Form