Volunteer Application

Thank you for applying.

Name:
Address:
Age:
Home Phone:
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Cell Phone:
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E-mail:
Weekday Availiability:
Weekend Availability:
Tell us your Interests
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If Other, describe

Summarize special skills such as computers, data entry, Braille reading, sign language, photography, etc. Please also list any previous experience that we may utilize such as public relations, media contacts, public speaking, fundraising, animal training, etc.

Summary
Type Name to Sign:

 

By typing my name above on this application, I understand and agree to the following:

I authorize OccuPaws Guide Dog Association (OGDA) to seek medical treatment for me in the case of accident, injury or illness that I might sustain while participating in any activity of OGDA, while in, or upon the premises where the activity is being conducted.

I release, waive, discharge and covenant not to sue OGDA, their directors, officers, servants, agents or employees from any and all liability, claims, demands, actions and causes of action whatsoever arising out of, or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, whether caused by the negligence of the releaser or otherwise, while participating in any such activity.