Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

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Please Check off your preferences in relation to your volunteer work. *

No Preference

Feeding/Cleaning

Educational Programming Support

Fundraising / Special Events

Maintenance / Grounds Projects

Serve on a Board Committee

Attend Clinics / Workshops

By checking below I agree to the following: *

I authorize the release of reference information and verification of the facts set forth in my application for Volunteering at RMMR. My service as a Volunteer is by mutual consent and may be separated by RMMR or myself, at any time with or without cause. I understand that while serving as a Volunteer, I will abide by all organization rules, regulations and policy and procedures. I understand that failure to carry out the responsibilities of a Volunteer or conduct myself in a manner other than in the best interest of RMMR, the Refuge or residents is grounds for immediate separation. I understand that I may be in contact with animals which may be ill or which have had varying experiences or degrees of exposure to humans. I knowingly accept the risks, including personal injury, associated with working with animals. I agree to hold harmless RMMR, its officers, directors, and agents against all injuries, losses, claims, suits, liabilities, judgments, costs and expenses, including attorney’s fees which may result from my work as a Volunteer. I have no physical ailments that would prevent me from performing the volunteer duties that I have expressed an interest in. I am at least 18 years old, and understand that I may not volunteer until properly trained and oriented to the Rescue and its policies and procedures.

Yes

No