First Name *
Middle Name *
Last Name *
Name that you prefer to be called *
Address *
City *
State *
Zip code *
Phone Number *
If Under 18: Parents Phone
Email *
Employer *
Volunteer Position(s) Interested in *
Dog/Puppy Foster
Cat/Kitten Foster
Petsense Cat Kennel Cleaner
Fundraising
Adoption/Special Events
Social Media Posts
Transport Dogs
Transport Cats
Administration/Clerical Needs
Other Volunteering Interests
*
Voluntary Acknowledgment and Participation. Voluntary Acknowledgement and Participation. I acknowledge that I have voluntarily agreed to serve as a volunteer for North Georgia Animal Alliance (NGAA), a nonprofit corporation organized under the laws of the State of Georgia, whose mission is to promote the humane treatment of animals through responsible pet ownership. I am referred to as a “Volunteer.” I offer to perform as a Volunteer of my own volition. No one has demanded that I participate in any activity with NGAA.
*
Nature and Scope of Services. See tooltip.
*
Compensation. I agree to provide my Services without compensation. I will not be compensated for my efforts nor am I an agent or contractor of North Georgia Animal Alliance.
*
Responsibility of my own acts and Omissions. I hereby agree to be legally and financially responsible and will indemnify and hold NGAA harmless for my own acts and omissions relating to the service I am voluntarily providing to NGAA. I acknowledge that I am responsible for providing my own medical, liability, and auto insurance during my volunteer service. I understand that I am not covered by workers’ compensation nor insured by NGAA during the performance of my volunteer duties and tasks, including driving a vehicle or transporting an animal.
*
Assumption of Risk. I am voluntarily participating in the activities of North Georgia Animal Alliance with full knowledge of the risks and dangers involved and hereby agree to accept any and all risks of injury, death, or damage to myself and/or my personal property. As a volunteer, I may come into contact with and interact with animals, and such work entails risk of personal injury due to proximity to animals, dangerous equipment, long- distance driving, and other considerations. These include, but are not limited to, being bitten, kicked, clawed, tripped, and possibly exposed to zoonotic diseases.
*
Photo, Audio and Video Release. I understand as a volunteer of NGAA, I may be recorded on film, video or other electronic media. I hereby consent to such recording and to the use of such recordings by NGAA for any purpose of the furtherance of the objectives of NGAA including the use in NGAA media properties such as their website, Facebook, etc. I grant NGAA the permission to copyright, use, reuse, publish or republish any records without restrictions as to changes or alterations for use in art, trade, advertising or any other purposes. I understand that all work product I create in my capacity as a volunteer of NGAA will be the property of NGAA and NGAA will have the sole right to sell, use, license, publish or transfer such work product, in any and all media form. I will disclose of such work product to NGAA and assign all rights to NGAA.
*
Release. I hereby agree that I, my assignees, my heirs, my guardian, or legal representatives will not make a claim against, sue, or attach property of NGAA for injury or damages resulting from any act, omission or negligence or other acts caused by an any employee, agent, contractor or representative of NGAA as a result of participation of activities and performance of services and and any recordings. I hereby release NGAA from all actions, claims, or demands that I, my assignees, my heirs, guardians or legal representatives now have or may hereafter have for injury or damage resulting from my participation in activities and performance of services and any recordings.
*
Confidentiality. During my association with NGAA and thereafter, I will keep confidential, refrain for disclosing to others, and use only in the performance of my volunteer duties, all confidential information of NGAA that I develop or learn about during the course of my association. I understand that this agreement covers of confidential business and technical information knowledge of or about NGAA which is not generally known to persons outside of NGAA and which I have not be specifically authorized to disclose or use. Examples of confidential information include, but are not limited to, information on finances, membership and donors, volunteer performance, research and development, the condition of sanctuary animals, campaigns, outreach programs and information NGAA has received from others and agreed to keep confidential.
*
Arbitration. Any controversy or claim arising out of or relating to this agreement or its breach will be settled by arbitration in the state of Georgia in accordance with the rules of the American Arbitration Association. Judgment on the award rendered by the arbitrators may be entered in any court having jurisdiction over the award.
*
Terms of Agreement. I knowledge that this agreement will apply to the entire term of my volunteer relationship, starting with the date on first perform volunteer duties for NGAA, even if it predates the date of this agreement, and continuing as long as I am continue to be a volunteer and thereafter as necessary to protect the interests and rights of NGAA arising herein with respect to confidentiality and use of my work products and/or use of A/V material as authorized above.
*
Governing Law. This agreement will be governed by and construed in accordance with the laws of the State of Georgia without regard to conflicts of laws principles.
Signature *
Clear
Date: *