Volunteer Application – Liability Release

GET INVOLVED — VOLUNTEER WITH GVPA

Would you like to help save lives of companion animals in our community?

GVPA is seeking volunteers with the following skills and interests:

  • Writing: grant writing, promotions, public service announcements, program development
  • Computer: managing internet sites (ie: Petfinders), social media (ie: twitter, fb)
  • Artistic/Creative: advertising, social marketing, logo enhancement
  • Organizational: office, shelters, fundraising, program development, TNR
  • Shelter Cleaning: much needed at all volunteer run shelters
  • Animal behavior: socializing at shelters, adoptions, improving shelter life, TNR
  • People Skills: adoptions, phone, PR, fundraising, program development
    Leadership: lead subcommittees and/or volunteer teams, fundraising

We invite you to share your ideas and energy toward this dynamic and rewarding cause. You are welcome to attend our monthly open meetings. They are currently held at the Church of the Nativity located at 2175 Broadway in Grand Junction, on the third Wednesday of every month from 4:30 – 6:00 PM.

A: Volunteer Information:

Your Name (required)

Your Email (required)

Today's Date

Your Address

Best Telephone Number (xxx-xxx-xxxx)

Driver's License Number (Volunteers may transport animals)

State of Issue

Expiration Date

B. Demographics (optional)

Gender

Age

Education Level

Employment Status

C: Availability

Days Available:  Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Times Available

D: What special skills or interests do you have?

E: Student Volunteer (must be 18 or older)

Is your volunteer work eligible for class credit?

Course TItle:

Credit Hours:

Name of Professor / Advisor:

Department / Institution:

F: Why are you interested in signing up with GVPA?

G: Emergency Contact:

Name:

Relationship:

Address:

Telephone Number:

I understand that this is an application for and not a commitment or promise of a volunteer opportunity. I certify that this information is true, correct and complete to the best of my knowledge.

Signature:

Date Submitted:

Email Subject Line

.

VOLUNTEER AGREEMENT AND RELEASE OF LIABILITY
No Compensation. I agree to provide my Services without compensation. I will not be compensated for my efforts nor am I an agent or contractor of Grand Valley Pets Alive. I agree that I am not and will not become an employee, partner, agent, contractor or principal of Grand Valley Pets Alive upon execution of this agreement or the performance of the Services.

Responsibility for My Own Acts and Omissions. I hereby agree to be legally and financially responsible and will indemnify and hold Grand Valley Pets Alive harmless for my own acts and omissions relating to the service I am voluntarily providing to Grand Valley Pets Alive. I acknowledge that I am responsible for providing my own medical, liability, and auto insurance during my volunteer service. I understand that I am not covered by workers’ compensation nor insured by Grand Valley Pets Alive during the performance of my volunteer duties and tasks, including when driving a vehicle or transporting

Assumption of Risk. I am voluntarily participating in the activities of Grand Valley Pets Alive with full knowledge of the risks and dangers involved and hereby agree to accept any and all risks of injury, death, or damage to myself and/or my personal property. As a volunteer, I may come into contact with and interact with animals, and such work entails risk of personal injury due to proximity to animals, dangerous equipment, driving, and other considerations. These include, but are not limited to, being bitten, kicked, clawed, tripped, and possibly exposed to zoonotic

Photo, Video and Audio Release. I understand that as a volunteer of Grand Valley Pets Alive, I may be recorded on film, video or other electronic recorded images or other media recordings of my name and likeness (“A-V Recordings”) for any purpose related to furtherance of the objectives of Grand Valley Pets Alive, including use in GVPA media properties such as website and social media. In particular, I grant Grand Valley Pets Alive permission to copyright and use, reuse, publish, and republish A-V Recordings, without restriction as to changes or aIterations, for art, advertising, trade, or any other purpose. Further, I understand that all work product I create in my capacity as a volunteer for Grand Valley Pets Alive will be the property of Grand Valley Pets Alive and that Grand Valley Pets Alive will have the sole right to use, sell, license, publish, or transfer any such work product, in any and all media formats, including print, mechanical and electronic formats. I will disclose any such work product to Grand Valley Pets Alive and assign all rights thereto to Grand Valley Pets Alive.

7. Release. As consideration for being permitted by Grand Valley Pets Alive to participate in activities and provide Services, I hereby agree that I, my assignees, heirs, distributees, guardians, and legal representatives will not make a claim against, sue, or attach the property of Grand Valley Pets Alive for injury or damage resulting from any act, omission, negligence or other acts, howsoever caused, by any volunteer, agent, contractor, or representative of Grand Valley Pets Alive as a result of my participation in activities and performance of the Services and any A-V Recordings