Volunteer

Please complete this application if your child is younger than 16. Once your application has been reviewed, you will be contacted by our Volunteer Coordinator, typically within 1-2 business days.

Note that fields marked with a * are required.

Child's Information:

Child's Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Does your child require any special accommodations?*

Yes
No

If yes, please explain:*

Child's Date of Birth*

Parent / Legal Guardian Information:

Parent / Legal Guardian Name*

First Last

Parent / Legal Guardian Date of Birth*

Relationship to Child:*

Phone Number*

Email Address*

Enter Email Confirm Email

Employer*

Occupation*

Questions for Child:

Why do you want to volunteer for SAFE Haven?*

Any known allergies including animals, chemicals, or detergents?*

Yes
No

If yes to known allergies, please explain:*

Disclaimers:

Parent or guardian please read and agree to the the following and sign below:

My child may be volunteering in an environment with dust, fur, chemicals such as bleach and other allergens.*

I agree
I disagree

My child may be volunteering in an environment that may be loud, busy and that has live animals.*

I agree
I disagree

My child's age range:*

13-15 years
10-12 years
8-10 years
under 8 years

My child has my permission to volunteer at this job WITHOUT my supervision for this many hours per week:*

My child has my permission to volunteer at this job WITH my direct supervision for this many hours per week:*

Photo Disclaimer:
I understand that SAFE Haven for Cats occasionally photographs or videotapes activities held at its buildings and at special events in the community, for use solely in connection with official SAFE Haven for Cats publications, its website, or in social media. By allowing my child to volunteer at SAFE Haven for Cats, I give my consent for SAFE Haven to record and use my child’s image to raise awareness about SAFE Haven and its mission.

Do you agree with the Photo Disclaimer and give you permission for your child to be photographed by SAFE Haven for Cats?*

I agree
I disagree

SAFE Haven Release:
I release SAFE Haven for Cats, its sponsors, employees, board members, volunteers and agents from any and all claims and liabilities (including costs and attorney fees) arising out of or in any way connected to my child’s volunteer activities, unless the claim is based upon the conduct of SAFE Haven for Cats employee in the course and scope of his or her employment. I further agree to indemnify and hold SAFE Haven for Cats harmless from any and all claims arising from my conduct or the conduct of my child while he or she is volunteering for SAFE Haven for Cats.

Do you agree with the SAFE Haven Release?*

I agree
I disagree

Parent / Guardian Full Name (Digital Signature)*

Volunteer

Latka

Female - Young Adult