Volunteer Application

Contact Information

First Name*

Last Name*

Address

City

State/Province

Zip/Postal Code
-

Email*

Home Phone

Cell Phone

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Date of Birth*

What areas are you interested in Volunteering at LOAR?

Fostering (house animal until adoption) Cat/Kittens	Fostering (house animal until adoption) Dog/Puppies
Transport (driving felines to/from PETSMART Madison East and Montello; to and from Madison for spay/neuter clinic)	Cleaning/Socializing (litter boxes, sweeping, vacuuming, & mopping, laundry, etc.; playing with the animals)
Office/Computer data entry	Giving meds, cleaning ears, trimming nails, etc.
Events (assist with fundraisers--planning, setup, operations, clean-up)

What is your availability in days and hours? Please be specific.*

In a few words, please tell us why you would like to volunteer with an animal rescue and what do you wish to accomplish?*

Please list your skills.*

Do you have experience in animal behavior or with handling animals? Please be specific.*

Please tell us about the pets you have now and in the past. Include name, breed, gender, spayed/neutered, vaccinations, still owned by you or where is the animal now?*

List at least 2 (up to 5) references (who are not family members) AND provide their phone numbers.**

Please provide the name and phone number of your current and/or previous Veterinarian(s).*

May we contact your Veterinarian as a reference?*

I understand that I am asking to be allowed to volunteer my time with the animal rescue known as Little Orphan’s Animal Rescue, Inc. (LOAR). I understand that I will be working with unfamiliar, wild, abused, neglected, and/or scared animals that are strangers to me and I to them. I fully understand that there are many risks involved in handling these animals. I acknowledge it has been explained to me that any animal has the potential to hurt, bite, scratch, maul, disfigure and even fatally injure a person. Animal bites must be reported to LOAR. Therefore, I do agree to assume all risk of injury or harm to myself or to my property and agree to release, indemnify, defend and forever discharge LOAR and it’s staff, employees, and agents of and from any liability, claims, demands, costs, expenses, actions, and causes of action (collectively, the “claims”) in respect to death, injury, loss or damage to myself or my personal property, howsoever caused, arising or to arise by reason of my volunteering at LOAR. I further state that I have my own health insurance and am fully insured for any medical emergency that I may encounter while volunteering for LOAR in any capacity. Please sign/type your name in box below.

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