Volunteer Application
Contact Information

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Waiver of Liability and Agreement to Indemnify

The Undersigned acknowledges that he/she desires to perform certain services (collectively, the “Services”) for CCRC, a Michigan non-profit corporation (“CCRC”). The Undersigned further understands and acknowledges that certain risks may be associated with performing the Services.

In consideration of being permitted to perform the Services for CCRC, the Undersigned, for himself/herself  and his/her heirs an representatives voluntarily and knowingly executes this  document and expressly waives any and all rights, claims, or causes of action  including, without limitation, those involving bodily injury or property damage  to the Undersigned, or the the Undersigned’s family or property while the  Undersigned is engaged, directly or indirectly, in performing the Services,  whether or not caused by the negligence of CCRC, its
officers, directors, agents  or employees.

In further consideration of being permitted to perform the  Services for CCRC, the Undersigned hereby agrees to indemnify, defend and hold  CCRC, its officers, directors, agents and employees harmless from and against  any and all liability, damage, loss, cost and expense incurred as a result of  any claim, demand, or cause of action, brought against CCRC, its officers,  directors, agents or employees, jointly or
individually, for bodily injury or  property damage suffered as a result of the Undersigned/s negligent, reckless or  willful act or omission in the performance (or failure to perform) of the  Services.

The Undersigned has read and fully understands the contents of  this Waiver of Liability and Agreement to Indemnify. The Waiver of Liability and  Agreement to Indemnify shall continue in full force and effect until terminated  in writing and in the event of such termination shall remain applicable to all  matters occurring or first arising on or before the date of such termination,  regardless of such termination.

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THE FOLLOWING QUESTIONS ARE FOR POTENTIAL FOSTERS ONLY:





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PLEASE LIST YOUR CURRENT PETS










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