Volunteer Waiver - Dogs Mountain

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Tilte*
Given Name*
First Name*
Birthday*
Gender*
Country Citizenship*
File
Drop files here or
Please attach a photo of yourself*

Contact Details
Full Address*
City*
Postal Code / Zip Code*
State / Province / Region
Country*
Mobile Phone*
Email*

Emergency Contact
Given Name*
Last Name*
Address*
City*
State/Province/Region*
Postal Code / Zip Code*
Country*
Home Phone Number*
Mobile Number*

Availability
Availability*
Which Program are you Interested in Volunteering for*
Please Indicate areas to volunteer according to your skills the best describes your abilities*
Which languages do you speak*
Please specify your diet reference*
Your Size of your T-shirt*
Where/How did you initially learn of Dogs Mountain Volunteer Opportunity*

Background
Please tell us about yourself that you think we should know to get you better*
How did you heard about the Dogs Mountain Sanctuary Volunteer Program? If yes please provide details.*
Have you previously volunteer on a Dogs Mountain Before? If yes please provide details.*
Have you been convicted of a crime (other than traffic violations or misdemeanors)? If yes please provide details*
Which languages do you speak*
Do you have pets or have you had four legged friends in the past? Please tell us about them.*
What do you think your skills will bring to the Dogs Mountain Project?*
Tell us about your goals or what do you hope to gain from this volunteering trip?*

Skills
Current occupation*
What other qualifications, experience and skills do you have*
Current or previous volunteer experience (include company or organization name, dates, and volunteer duties)*
Special training or certifications*
Degrees or Diplomas*

General Health Information
(Please note; That due to the nature work of this program , health and safety precaution need to be taken into account upon your participation.)
Do you have any animal or allergies that might affect your volunteer activities? If yes please provide details we have to be aware of;*
Do you have any allergies (food, medicine, etc) If yes please provide details*
Have you had surgery history in the past 12 months? or currently take medicine? If yes please describe the details*
Do you have asthmas , back pain problem, or chronic illness? If yes, please provide details*
Do you any Physical or mental/psychological issues or disabilities or infirmities, that would inhibit your ability to perform your volunteer duties? If yes, provide and describes details*
Please note that your passport must be valid at least 6 months beyond the trip return home date. Please email a copy of your valid a government-issued photo ID (passport, driver’s license or state ID card equivalent) to volunteerdogsmountain@hotmail.com
I declare that all the information provided here is, to the best of my knowledge and belief, full, true and correct, and that my CV/enclosed is accurate. I understand that any false information on this application may cause my disqualification from the program. If accepted for Dogs Mountain Volunteer Program, I commit to participating actively in all program activities before, during and after the Dogs Mountain Volunteer Program. I understand that this is a team-based project and will do my best to make this a positive experience for my fellow team members and the people we meet in-country. I understand that my place on the team can be revoked at any stage during the preparation for or during the time of the trip if my behavior is inconsistent with the ethos, requirements or commitments agreed for the trip. If I am involved in any illegal activity or caught in the possession of illegal drugs or weapons during the Dogs Mountain Volunteer Program, I will be evacuated immediately at my own expense, and without refund.*
- I understand and agree
Working with animals may be dangerous and lead to serious injury, illness, or even death. As a volunteer you understand and agree to personally assume any and all of the liability and risk associated with volunteering for Dogs Mountain Sanctuary. Further, each volunteer agrees to hold harmless Dogs Mountain Sanctuary, its directors, officers, agents, employees and other volunteers from any responsibility or liability for any and all illness, injuries, or death which may occur as direct or proximate result of their involvement with Dogs Mountain Sanctuary.*
- I understand and agree
Treat all animals, all people, and the environment with a sense of dignity, respect, and worth. Make a personal commitment to be non-judgmental about cultural, racial and religious differences, living conditions and the life-style of each person, maintaining the quality of life and experience for all who are involved.*
- I understand and agree
- I understand and agree I understand and agree I have read, understood and agree to abide by Dogs Mountain Agreement policies
Volunteer Waiver, Release of Liability, and Hold Harmless Agreement
I understand that the volunteering at Dogs Mountain Sanctuary may include activities that may be hazardous to me including, but not limited to handling dog conflicts, kennel maintenance, removing dogs from kennels and/or returning them to kennels, bathing and grooming dogs, feeding dogs, dog walking, and dog training, urine and vomit; being bitten and/or scratched; moving cages and crates; bending, stooping, lifting; and transporting animals; transporting equipment; and other activities involved in the handling of animals or setting up for events. As a Volunteer, I hereby expressly and specifically assume the risk of any injury and harm resulting from engaging in any activities at Dogs Mountain Sanctuary. I further release Dogs Mountain Sanctuary from any and all liability from injury, illness, death or property damage or loss resulting from the activities directly or indirectly and shall forever hold harmless and indemnify Dogs Mountain Sanctuary from the same.*
- I understand and agree
Release and Waiver: I do hereby release and forever discharge, hold harmless, and indemnify Dogs Mountain Sanctuary and its successors and assigns from any and all liability, claims, suits and demands of whatever kind of nature, either in law or in equity, which arise or may hereinafter arise from my activities with Dogs MountainSanctuary.*
- I understand and agree
Medical Treatment: I do hereby release, hold harmless, indemnify and forever discharge Dogs Mountain Sanctuary from any claim whatsoever which arises because of any first aid, medical treatment, or medical services rendered in connection with my activities with Dogs Mountain sanctuary.*
- I understand and agree
Photographic/Video Release: I do hereby grant and convey unto Dogs Mountain Sanctuary all rights, title, and interest into any and all photographs, images, video and audio recordings made by Dogs Mountain Sanctuary during my activities with Dogs Mountain Sanctuary including, but not limited to, any royalties, donations, proceeds or other benefits derived from such photographs or video recordings. I further permit Dogs Mountain Sanctuary to publish said images, recordings and videos at will on its website(s), social media site(s), marketing materials, and in other media for advertising, and other use as Dogs Mountain Sanctuary deems appropriate in its sole discretion. I will not make no monetary or other claim against Dogs Mountain Sanctuary for the use of the photograph(s) and/or video(s)*
- I understand and agree
Agreements*
- I AGREE TO THE VOLUNTEER WAIVER, RELEASE OF LIABILITY, AND HOLD HARMLESS AGREEMENT
Date*
Date Format: MM slash DD slash YYYY
By writing your name here, you are agreeing to the above agreement policies.*
Note; Please Link this application form to this email address; volunteerdogsmountain@hotmail.com

Step 1 of 7

Contact Details

Emergency Contact

Availability

Background

Skills

General Health Information