o many animals benefit from one person selflessly giving their time. There is so much need with the Friends Group and Humane Society of the Sierra Foothills the duties change when the need changes.
We welcome anyone (14 and older) who is interested in making a difference and would like to volunteer their time. We just need to collect a little information about you and how you're willing to help so please fill out the form below and you will be contacted by our volunteer staff.
PLEASE NOTE: To move between fields, you must either use the 'Tab' key on your keyboard or place the cursor on the next line using your mouse. The 'Enter' button will not take you to the next line.
Volunteer Information
Last Name
Address
City
State
Zip Code
Home Phone
Cell Phone
Work Phone
E-mail
Date of Birth
Are you
currently a member?
YES NO
Medical Insurance Carrier
Policy Number
Auto Insurance Carrier
Auto Policy Number
Describe previous volunteer experience:
What animals do you currently care for?
List training, experience and skills you have that would be relevant to the job you are interested in:
Do you have any physical limitations which may require accommodation, or restrict your volunteer experience?
YES NO
Please list emergency contact information:
Contact Name
Contact Phone
Please mark as many of the following boxes that appeal to your interest:
This document sets forth the responsibilities and understandings of the volunteer and of Friends of Placer County Animal Shelter (FRIENDS) and Humane Society of the Sierra Foothills (HSSF) regarding volunteer's participation in volunteer programs partially or wholly coordinated by FRIENDS and HSSF.
The volunteer and FRIENDS/HSSF agree as follows:
1. The volunteer performs the service of the volunteer's own free will, without promise, expectation, or receipt of remuneration. The volunteer is not an employee or agent of FRIENDS/HSSF for any purpose and the volunteer's services are not controlled nor mandated by FRIENDS/HSSF.
2. If the volunteer is under the age of 18, the volunteer may only participate in volunteer service with the express written consent of the volunteer's parent or guardian byfilling out and signing that portion of this document. Volunteers must be at least 14 years of age.
3. The volunteer understands and agrees that it is possible that the volunteer may be injured or otherwise harmed during volunteer service due to accidents, acts of nature, the volunteer's negligent or intentional acts, or the negligent or intentional acts of others. FRIENDS/HSSF has no control over most risks, and, thus, cannot and does not guarantee nor take any responsibility for the safety of the volunteer or the volunteer's property while the volunteer is engaged in volunteer service; and that the volunteer must take full responsibility for himself or herself and assume the risk of harm or damage while serving by taking all necessary and reasonable precautions and acting in a manner that will help protect himself or herself and his or her property.
4. The volunteer agrees to release and hold harmless FRIENDS/HSSF from any and all potential claims for injury, illness, damage, or death which the volunteer may have against FRIENDS/HSSF or against any third party who may be involved in causing or contributing to the harm allegedly sustained by the volunteer while participating as a volunteer.
5. The volunteer agrees and understands that injuries or losses to others, including other volunteers, may occur as a result of the volunteer's negligent or intentional acts during volunteer service, and that to avoid such harm, the volunteer must exercise care and act responsibly in serving others.
6. If any injury or loss to another does occur due to the volunteer's intentional or negligent actions, the volunteer agrees to fully accept the liability for and repair, or make reparations for, the harm done and agrees to bear the financial burden of such harm, damage or injury.
7. The volunteer acknowledges that FRIENDS/HSSF is not providing the volunteer with insurance coverage for any injuries, conditions, or losses arising out of or in any way relating to the volunteer activities, with the sole exception being that FRIENDS/HSSF provides liability insurance coverage on all FRIENDS/HSSF vehicles used during service projects.
8. The volunteer must maintain his or her own primary medical insurance and the volunteer's own automobile liability insurance when driving a non-FRIENDS/HSSF vehicle to cover potential medical and other costs related to the volunteer service; and the volunteer is also encourages to maintain property and life insurance coverage while serving as a volunteer. Failure to obtain or maintain likability or medical insurance is the sole responsibility o the volunteer and FRIENDS/HSSF bears no responsibility for determining whether a volunteer has appropriate insurance or what said insurance may or may not cover.
9. All costs for injury or loss above the coverage provided by the volunteer's insurance are the volunteer's personal responsibility.
10. In projects where the volunteer will be transporting others in a non-FRIENDS/HSSF owned vehicle, the volunteer is required to provide proof of automobile insurance in order to participate.
11. Since volunteers are not FRIENDS/HSSF employees or agents, FRIENDS/HSSF does not provide worker's compensation for volunteers and by signing below, said volunteer acknowledges that he/she is aware of the lack of worker's compensation coverage and agrees to participate at the volunteer's own risk in activities carried out by or on behalf of FRIENDS/HSSF.
By choosing YES below, I confirm that I have read, understand, and consent to the terms of this waiver agreement.
o many animals benefit from one person selflessly giving their time. There is so much need with the Friends Group and Humane Society of the Sierra Foothills the duties change when the need changes.
NO
