Volunteer Liability Waiver - Blue Dog Rescue

Volunteer Name*

Street Address*

City*

State*

Zip Code*

Phone 1*

Phone 2

Email*

Best method to contact me is by*

Is volunteer age 18 or older?*

Yes
No

NOTE – MINORS MUST BE ACCOMPANIED BY AN ADULT

What are the volunteer opportunities you are interested in? (check all that apply)

Athletic Events
Community/Adoption Events
Fundraising Events
Provide free or discounted services
Describe in more detail what you are interested in:

Are you willing to volunteer at an annual event (example: Austin Marathon water stop volunteer)?

Yes
No

Is your desire to volunteer a*

short or
long term commitment?

If short term, what is your timeline?

In general, what days & times are you available to volunteer?

Describe what skills or abilities you have that may be beneficial to Blue Dog Rescue?

Terms*

I the undersigned, being the volunteer involved with Blue Dog Rescue, or being the parent or legal guardian of such a volunteer in Blue Dog Rescue, in consideration of my or another’s participation in the Program, I hereby, for myself and any volunteer for whom I am a parent or legal guardian release, discharge, hold harmless, and forever acquit Blue Dog Rescue, Inc. or other local sponsors, and their officers, agents, representatives and employees from any and all actions, causes of action, claims or any liabilities whatsoever, known or unknown now existing or which may arise in the future, on account of or in any way related to or arising out of my participation in Blue Dog Rescue. Further, I assume all liability of any non-participants who accompany me.

I understand that I am a volunteer for all purposes, including workers compensation, and am not an employee of Blue Dog Rescue or other local sponsors, and their officers, agents, representatives and employees, and as such they are not responsible for injury or death of myself and any volunteer for whom I am a parent or legal guardian which may occur while acting as a volunteer.

I agree