Volunteer Application and Waiver Applicant Contact Information Name Email Phone Address Community Province Nova ScotiaAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Emergency Contact Name Emergency Contact Phone I am interested in: (please indicate all interests - e.g. Cleaning cattery areas, Cuddling of animals, Walking dogs, Fundraising, Graphic design (posters), Sewing, Where the need is greatest) I have the following skills, which may be useful to CAPS A zoonoses is a disease of animals that is transmittable to humans under natural conditions. This is not a high risk factor but for your own protection, CAPS requires that your tetanus shots be up to date. Date of last tetanus shot (yyyy-mm-dd) Volunteer Waiver I recognize that handling animals can put me at risk for injury. On behalf of myself, my heirs, personal representatives, and executors, I hereby release, discharge, indemnify and hold harmless the Companion Animal Protection Society, its directors, and agents from any and all claims, causes of actions or demands, or any nature or cause, including costs and attorney's fees incurred by the Companion Animal Protection Society of Annapolis County (CAPS) in connection with the same, based on damages or injuries which may be incurred or sustained by me in any way connected with my services for CAPS, including, but not limited to, animal bites, accidents, or injuries. For foster parents only: I also hereby release Companion Animal Protection Society from any claims, causes of actions or demands based on damages or injuries which may be incurred or sustained by me or my family in any way connected with my fostering of an animal(s) including but not limited to animal bites, accidents, injuries or damages to my personal property. By typing my name below, I agree to the terms of the volunteer waiver as stated above and confirm that I am at least 19 years of age.
