Please Be A Volunteer

Volunteer Questionaire

First Name

Last Name

Address

City

State

Zip Code

Email Address

Cell Phone Number

Best time to call/text, (i.e. Morning, 100pm-300pm)

Emergency Contact - NAME

Emergency Contact - PHONE NUMBER

Emergency Contact - RELATIONSHIP

What day(s) are you available to volunteer? What day(s) are you available to volunteer? Days Nights Weekends

What time(s) are you available to volunteer? (i.e., 900am-100pm, 500pm-900pm)

What Volunteer position(s) are you interested in? What Volunteer position(s) are you interested in? Rescue Transport Rehabilitation Buildings and Grounds Education/Presentation Public Events

Do you have any physical limitations, if so, please describe, if none enter N/A

Any special skills, for example; animare care, education programs, construction, social media/marketing, if none enter N/A

By entering your name here, and submitting, you agree to the terms and conditions listed below

7 + 13 =

Volunteer Participation and Understanding

1. Voluntary Participation. I acknowledge that I am voluntarily serving as a volunteer for A Wild Life, which is a nonprofit organization that provides rescue, rehabilitation, and release to native wildlife.

2. Scope and Location of Activities. As a volunteer for A Wild Life, I will be participating in a variety of general support activities and/or providing services organized and arranged by A Wild Life. The support activities and services may take place at various locations including A Wild Life rehab facilities, educational events, festivals/fairs, and transportation of wildlife. I understand that during the course of these activities and while providing these services, I may come into contact with, and interact with wildlife.

3. No Compensation. I understand that the activities are charitable in nature and that I will not be compensated for participating in the activities or for providing the services. I agree to participate in the activities and provide my services without compensation.

4. Responsibility for My Own Acts and Omissions. I hereby agree to be legally and financially responsible for my own acts and omissions relating to the activities and services.

5. Assumption of Risk. I am aware that there are various risks and dangers involved in participating in the activities and the services. I am voluntarily participating in the activities 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.

6. Public Relations. I understand that public relations is an important part of volunteering with A Wild Life. I consent and authorize A Wild Life to use any photographs or videos taken of me for public relations purposes.

7. Release. As consideration for being permitted to participate in the activities and provide services, I hereby agree that I, my assignees, heir, distributees, guardians, and legal representatives will not make a claim against, sue, or attach the property of the nonprofit organizations we are helping for injury or damage resulting from any act, omission, negligence or other acts, howsoever caused by any employee, agent contractor, or representative of the organizations as a result of my participation in the activities and performance of the services. I hereby release A Wild Life, A Wild Life Directors and Officers, and the other nonprofit organizations involved from all actions, claims, or demands that I, my assignees, heirs, distributees, guardians, and legal representatives now have or may hereafter have for injury or damage resulting from my participation in the activities and performance of the services. It is expressly understood and agreed that I am hereby waiving and surrendering my rights pursuant to any state regulations which provides as follows: A general release does not extend to claims which a creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him must have materially affected his settlement with the debtor.

8. Knowing and Voluntary Execution of This Agreement. I hereby represent that I have read this agreement and fully understand it to be a release of all claims, known or unknown, present or future, that I have or may have against the parties released, arising out of the matters described. I further represent that I am of legal age and legally competent to execute this agreement and that I do so of my own free will and accord without reliance on any representation of any kind or character not expressly set forth herein.

9. Arbitration. Any controversy or claim arising out of or relating to this Agreement or the breach of this Agreement will be settled by arbitration 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.

10.Governing Law. This Agreement will be governed by, and construed in accordance with the laws of North Carolina. Executed in Lumberton, NC, on this date