Cat Attendant Volunteer Application

Date / Time

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email

Name of employer / School:

Occupation:

Work / School Hours:

Do You Have Pets?:

Yes
No
Have previously had pets

If yes, pet name(s) and description.:

Please list any previous experience working with animals.:

List any special skills, experience, knowledge that you believe might be valuable to Famous Fido.:

References: Please list 2 people of responsibility who have known you for several years, excluding former employers, employees or relatives. Please include Name / Relationship / Contact info.:

Areas of interest (check all that apply):

Tell us more about how you are interested in helping:

Number of hours you can commit to a Volunteer Program:

How many days a week and what days:

VOLUNTEER WAIVER I am a volunteer preforming certain services for Famous Fido Rescue and Adoption Alliance, herein called 'FFRAA'. I understand and agree these services charitable in nature and are entirely voluntary and that I will receive no compensation of any kind. I understand that FFRAA volunteers are covered as additional insured's on FFRAA'S Commercial Liability Insurance and that this insurance will only protect me for claims made against me, injuries or property damage I cause that arise out of duties preformed within the scope of my volunteer job description for FFRAA. This is liability insurance and does NOT cover injuries to myself. Additionally, I maybe personally liable to injured parties if injuries result from my negligence. I understand FFRAA does NOT maintain automobile insurance for volunteers. I must maintain and provide proof to FFRAA of my own automobile liability insurance. FFRAA's insurance does NOT pay any damage done to volunteer vehicles while being driven on FFRAA business. I will indemnify, hold harmless, release and defend FFRAA from and against any and all action, claims damages, disabilities or expenses that may be asserted by any person or entity arsing out of or in connection with my participation as a volunteer for FFRAA (Example: injury from an animal bite or resulting or injury resulting from equipment hauling.) This statement is executed freely and voluntarily and with full knowledge by the undersigned. It is the policy of FFRAA to provide opportunities for volunteer service to all qualified persons regardless of race, color, creed, national origin, ancestry, age, sex, disability, religion, citizenship, marital status, sexual preference or any other characteristics protected by law. Please sign and date below.: