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Required fields are marked with an asterisk (*). One of the fields below is a file upload/attachment, the file size must be less than 10MB.
First Name *
Last Name *
Preferred Name
Pronouns
Mobile Phone *

For example, 123-456-7890
SMS/text messaging: By providing your mobile number and checking the box below, Paws Humane Society will be allowed to send you SMS (text) messages relating to their volunteer activities. To opt-out, reply STOP to any SMS message OR return to this form and uncheck the box.
Address *
Address line 2
City *
Zip *
State *
Date of Birth *

A valid date as MM/DD/YYYY (for example: 11/30/2015)
Age *
Emergency Contact First Name *
Emergency Contact Last Name *
Emergency Contact Phone Number *
Emergency Contact Email Address
Relationship *
Bite/Scratch Waiver
All animal bites or scratches that occur at Paws Humane that break the skin are taken very seriously. The area should be washed thoroughly with soap and water. You must report any bites/scratches immediately to allow Paws Humane staff to determine if it has broken the skin. An Animal Bite Form must be filled out promptly by an adoptions staff or manager. The adoptions staff/manager will then walk you next door to Animal Control. An officer at Animal Control will also fill out a report.

The animal must be quarantined for a period of no less than ten (10) days. During that 10-day period, a licensed veterinarian must examine the animal and a final examination shall be conducted ten (10) days following the bite to ensure that the animal has not broken out with rabies.

The Code of Georgia Section 31-19-4 (2014) requires that, “any person bitten by any animal reasonably suspected of being rabid immediately to notify the appropriate county board of health. It shall be the duty of the owner, custodian, or person having possession and knowledge of any animal which has bitten any person or animal or of any animal which exhibits any signs of rabies to notify the appropriate county board of health and to confine such animal in accordance with rules and regulations of the county board of health.”

- Failure to report a bite is a misdemeanor and may be prosecuted.
- The County Rabies Officer is responsible for notifications regarding the Paws Humane, Inc. and affected parties as to an animal’s rabies status.

Rabies is a serious and fatal disease if left untreated. There is no cure once the victim becomes symptomatic. Treatment for a bite or scratch should begin immediately after the animal is deemed to be rabid or if the animal cannot be quarantined or tested to determine its rabies status.

By signing this protocol, you are agreeing to follow the proper protocol above. Failure to follow the proper protocol above will result in your termination of Paws Humane Volunteer Program.
Type your first and last name below to agree to all policies in the Bite/Scratch Waiver above *

Waiver

I have voluntarily applied to assist Paws Humane Society, Inc. and/or its affiliates with the work referenced in the Position Description(s) for my volunteer role(s), and as specified in the Volunteer Application Agreement I signed.
By applying for and performing this volunteer work, I agree as follows:

_ I am 18 years or older, or have permission from my parent/guardian to volunteer at Paws Humane Society.

_ I have never faced allegations or been formally convicted of a felony offense associated with animals, minors, or acts of violence.

_ I am voluntarily participating in this activity with full knowledge of the tasks involved. I agree to accept any and all risks associated with my participation, including but not limited to injury and illness.

_ I am aware that this is a contract between me and Paws Humane, Inc. and that it waives legal rights that I may have now or in the future and releases Paws Humane Society, Inc. and others from claims for damages.

_ I fully understand there are risks and dangers associated with working with wild, feral and domesticated animals, including but not limited to, bites, scratches, zoonotic diseases (diseases transmitted from animals to humans), and allergic reactions. I fully understand and accept those risks and dangers.

_ I understand there may be risks involved with exposure to certain chemical cleaning products while performing my volunteer duties, accept those risks and dangers.

_I fully assume all the risks involved with my volunteer activities, and acknowledge that they are acceptable to me. I agree to use my best judgment in undertaking these activities. I also agree to follow the rules and safety instructions as given by Paws Humane Society, Inc. employees and volunteers authorized to act in a supervisory capacity.

_ I will adhere to the Paws Humane, Inc.’s Volunteer Handbook and guidelines.

_ I am to be trained on any activity that I am unfamiliar with, learn the corresponding policies, and it is my responsibility to understand them completely or ask questions until I feel confident to perform them.

_ I agree that I will not sue, prosecute, or in any way make a claim against Paws Humane, Inc. for injury to me or damage to my property resulting from the negligence or other acts, howsoever caused, by any employee, agent, volunteer or contractor of Paws Humane Society or other people as a result of my volunteer duties.

_ I fully and forever release and discharge Paws Humane, Inc. from any and all actions, causes of action, claims, liabilities, or demands I have or may have in the future, whether known or unknown, for injury, illness, death or damage arising out of or related in any way to my volunteer duties.

_ I agree that Paws Humane, Inc. may use my name, and pictures, photographs, or video and/or sound recordings of me on television, on radio, on the Internet, in emails, and in stories, news articles, advertisements, or other written or digital materials. I agree that such uses may include education, advocacy, and fundraising. I consent to and authorize, in advance, such use and agree that Paws Humane Society, Inc. does not have to notify me of such use or provide me with other consideration for such use. I waive any rights of privacy and/or publicity I may have in connection with these uses.

_ I agree that the rights I am giving up and agreements I am making apply equally to me and to my heirs, successors, assigns, guardians and legal representatives. I agree that none of those individuals may make any claim or take any action that I could not make or take myself.

_ Termination: I understand that I or Paws Humane, Inc. may terminate this agreement at any time without cause, and that I am volunteering my services at will and may be asked to discontinue such without prior notice or reason.