First Name*

Last Name*

Address

City

State/Province

Zip/Postal Code
 - 

Country

Email*

Home Phone

Cell Phone

The Compassionate Youth Program is our volunteer program for those between the ages of 10-15 years old. It is designed to involve those that are interested in volunteering at a younger age.

Birthday*

Special interests (ex. Excel, Web Design, photography, writing, etc.)

Please indicate one or more areas which you are interested in:

If other was selected, please specify

Do you have any known allergies (i.e., cats, peanuts, etc.) that we should be aware of?*

As a volunteer, I understand that there are certain risks in working with animals and agree to follow directions/instructions provided by an experienced volunteer(s), perform tasks prescribed by PAWS, and will at all times use caution in performing activities/duties assigned. I understand that I may not be permitted to interact with any animals. Volunteers under 16 must be accompanied by their parent/guardian and remain supervised by them the duration of the event. I agree to hold PAWS of Hertford County, Inc., any of its business partners (i.e. Petsmart), and other volunteers harmless for any claim(s) of injuries, etc. that might arise in the performing of activities/duties. I understand that volunteers may ask me to leave should I not comply with instructions or act in an unprofessional manner.

Do you understand the risks as mentioned above? Please respond yes or no, enter name and date*

Signature of Applicant______________________________ Date__________

Parent/guardian signature (required for student volunteers who are under 16). As the parent/guardian of the volunteer, I agree to allow him/her to volunteer with PAWS and agree to hold PAWS of Hertford County, Inc., any of its business partners (i.e. Petsmart), and other volunteers harmless for any claim(s) of injuries, etc. that might arise in the performing of activities/duties. By signing below, I agree to accompany and supervise him/her for the duration of the event.

The parent/guardian is responsible for submitting their own Volunteer Application & Agreement.

Printed Name of Parent/Guardian (for those under 18 years)

Parent/Guardian Relationship (for those under 18 years)

Signature of Parent/Guardian (for those under 18 years) _____________________________________ Date __________

PAWS agrees to hold harmless any claim that might arise against any volunteer(s) who is acting in an official capacity on behalf of PAWS. The PAWS executive board must be notified in advance and provide authorization for any activity(ies) or volunteer actions on behalf of PAWS. Said volunteer(s), regardless of any position held within the PAWS organization, must perform the activity(ies) in an appropriate and legal manner. This agreement can be terminated at any time by PAWS or the volunteer.

Verified and accepted by

PAWS Board Member________________________________Date_________

PAWS Board Member________________________________Date_________