Doggy Day Out - Walker County, GA - Official Government Site

Walker County Animal Shelter Doggy Day Out

Volunteer Agreement
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP / Postal Code
Primary Phone Number*
Email*
What is your exercise level?*
- Low
- Moderate
- High
What type of outing do you plan on having?*
- Hiking
- Running / Jogging
- Visting a park
- Activities involving water
- Coffee / Shopping
- Other
What type of dog are you interested in walking?*
- Low energy
- Medium energy
- High energy / needs lots of exercise
Days of the week you are available?*
- Monday
- Tuesday
- Wednesday
- Friday
Needs:*
- Crate for riding in car (dogs must be contained within vehicle)
- Doggy seatbelt for car
- Collapsible water bowl
- Poop bags
- None
Check all that apply
Volunteer Agreement & Release:*
- I understand that volunteering with Walker County Animal Shelter may require me to come in contact with animals, and that there are risks associated with my volunteer activities, including but not limited to dog bites and/or scratches. I assume the risks and accept personal liability for any damages that might occur as a result of my volunteer activities. I HEREBY IRREVOCABLY RELEASE WALKER COUNTY ANIMAL SHELTER, AND (2) ITS OFFICERS, DIRECTORS, EMPLOYEES, AGENTS, AND VOLUNTEERS (collectively referred to as “Released Parties”) FROM ANY AND ALL CLAIMS I MAY HAVE, OR WHICH MAY HEREAFTER ACCRUE TO ME, AGAINST RELEASED PARTIES FOR PERSONAL INJURY, INCLUDING DEATH, AND ALL PROPERTY DAMAGE OR LOSS, ARISING OUT OF MY VOLUNTEER ACTIVITY WITH WALKER COUNTY ANIMAL SHELTER.
- I hereby agree to indemnify, defend and hold the Released Parties harmless from any and all liability, losses, damages, judgments, or expenses, including attorneys’ fees, that the Released Parties may sustain in connection with any third-party claims that arise out of my volunteer activities, whether such volunteer activities occur on Walker County Animal Shelter premises, at my home, or elsewhere.
- I UNDERSTAND THAT WALKER COUNTY ANIMAL SHELTER DOES NOT ASSUME ANY RESPONSIBILITY FOR OR OBLIGATION TO PROVIDE FINANCIAL ASSISTANCE OR OTHER ASSISTANCE, INCLUDING BUT NOT LIMITED TO MEDICAL, HEALTH, OR DISABILITY INSURANCE OF ANY NATURE IN THE EVENT OF MY INJURY, ILLNESS, OR DEATH, OR DAMAGE TO OR LOSS OF MY PROPERTY. I UNDERSTAND THAT WALKER COUNTY ANIMAL SHELTER DOES NOT PROVIDE WORKERS COMPENSATION INSURANCE FOR VOLUNTEERS. AND HEREBY EXPRESSLY WAIVER ANY CLAIM FOR COMPENSATION OR LIABILITY ON THE PART OF WALKER COUNTY ANIMAL SHELTER IN THE EVENT OF ANY INJURY OR MEDICAL EXPENSE.
- I acknowledge and understand that I am a volunteer of Walker County Animal Shelter. I am not eligible for Walker County Animal Shelter Workers’ Compensation or any other type of compensation or employee benefit in connection with my volunteer activities.
- By using the Walker County Animal Shelter tags or the #doggydayout hashtag in the images and other content I post on my social media accounts related to my volunteer activities, I hereby grant Walker County Animal Shelter and Humane Society Silicon Valley d/b/a Mutual Rescue a non-exclusive, fully paid, worldwide, perpetual license to use, modify, publicly perform, publicly display, and reproduce my photographs, name, and likeness solely for marketing and promotional purposes.
- I certify that I am 25 years of age or older. I have received and read Walker County Animal Shelter’s current version of the Doggy Day Out Manual and agree to abide by its requirements and guidelines. Further, I specifically agree to the following: 1. To care for and treat humanely any dog given to me. 2. To keep the dog on leash unless confined in a securely fenced yard. 3. To use reasonable care to ensure the safety and well-being of the dog in my care, the safety of other dogs, and the people the dog comes into contact with. 4. To contact Walker County Animal Shelter if the dog exhibits symptoms that indicate a serious condition. Please see Walker County Animal Shelter Doggy Day Out Manual for examples of potential emergencies. 5. To keep the dog under my direct supervision at all times during the volunteer activity. 6. To immediately notify Walker County Animal Shelter in the event of a missing or injured dog, if the dog bites any person or animal, or any other injury or accident that I witness or experience resulting from my volunteer activities. 7. That all dogs are the property of Walker County Animal Shelter and shall not be sold, given away, or adopted out without prior approval of Walker County Animal Shelter authorized personnel. 8. To provide any change of my personal information, such as name, address, or phone number.
- I agree and understand that if I have any infractions with Animal Control, I cannot participate in this program and my application will be denied.
- I agree and understand that at no time in the past have I, or in the future will I, post disparaging comments on social media about WCAS facility and/or staff members and will maintain a professional relationship with staff members during all interactions and that my application can be denied or terminated for these reasons.
- I agree and understand that Walker County Animal Shelter has the right to deny any application, for any reason.
- I understand that this Doggy Day Out Volunteer Agreement and Release is binding on my heirs, assigns and legal representatives. This Doggy Day Out Volunteer Agreement and Release form is executed by me voluntarily and without reliance upon any representation by any person.
- By signing below, I acknowledge and represent that I have read and understood the foregoing release, sign it voluntarily, and agree to the indemnity and waiver of liability above.
Thank you for your interest in Walker County Animal Shelter Doggy Day Out program. Doggy Day Out is a unique program that allows volunteers to take shelter dogs for a daytime outing. By checking each of the boxes above, you acknowledge that you agree to the terms and conditions.
Type your name to sign this document*
First Last
Date*
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Walker County Animal Shelter Doggy Day Out

Volunteer Agreement

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