First Name*

Last Name*

Address*

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Email*

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This form serves as permission by an adult Parent/Guardian for a minor to volunteer for Dexter’s Kitties Inc.  

This form must be submitted by the adult Parent/Guardian. 

Kindly make sure the contact information above is for the Parent/Guardian (not the minor).

What is the name of the Child / Minor volunteer?*

As a parent/legal guardian of the above-named Minor Volunteer, I hereby give consent for my child or ward, to become a volunteer of Dexter’s Kitties Inc. under the following terms of a Volunteer .

My services to DK are provided strictly in a voluntary capacity as a Volunteer, and without any express or implied promise of salary, compensation or other payment of any kind whatsoever. *
Choose one: I Agree I do NOT Agree

I will familiarize myself and comply with DK policies and procedures applicable to Volunteers. In particular, I fully understand that DK expects high standards of moral and ethical treatment of animals under its care and I will adhere strictly to these standards in my capacity as a Volunteer. *
Choose one: I Agree I do NOT Agree

I understand that I am a representative of DK, and I will present myself in a professional manner including good hygiene and proper clothing attire during volunteer activities.*
Choose one: I Agree I do NOT Agree

I will not make decisions on behalf of the organization or the animals in the organization or provide opportunities that are not approved by the DK leadership team.*
Choose one: I Agree I do NOT Agree

I understand that the handling of animals and other volunteer activities including but not limited to adoption events, fostering and general care of animals could result in injury to me or my personal property including death. I hereby release, discharge, indemnify and hold harmless DK, PetSmart, PetSmart Charities and its management teams from any and all claims, causes of action and demands of any nature, whether known or unknown, arising out of or in connection with my volunteer activities on behalf of DK. *
Choose one: I Agree I do NOT Agree

I understand that DK does not maintain an insurance policy covering any circumstances arising from my participation in any volunteer activities. *
Choose one: I Agree I do NOT Agree

In signing this release, I acknowledge that I have read the foregoing waiver of liability and hold harmless agreement, understand it and sign it voluntarily. I am at least 18 years of age and fully competent or my legal guardian has agreed on my behalf.*
Choose one: I Agree I do NOT Agree

As a parent or legal guardian of the above-named Volunteer, by the signature below, I agree to be bound by the terms and conditions of the RELEASE above. Parent/Guardian of minor Volunteer - Type your Name below which will serve as your digital SIGNATURE. If you are not the applicant, a false submission constitutes FORGERY under s. 831.02, F.S. *

Please place the date in the box for your digital signature as well (MM/DD/YYYY).*