VOLUNTEER APPLICATION AND AGREEMENT Thank you for considering volunteering with Second Chance Animal Shelter. We are a non-profit, 501 (c) 3 organization, which operates a no-kill shelter and foster care program for stray, abandoned, neglected, and surrendered dogs, puppies, cats, and kittens. We also operate a high quality low-cost spay/neuter clinic as well as a full service veterinary clinic a t our Pet Wellness and Education Center in North Brookfield. Volunteers with a variety of skills are needed to ensure the success of these programs. Your help is GREATLY appreciated. Please take the time to fill out this application and read and sign the agreement. This information will help us find the volunteer work that you would enjoy most and to keep you posted on new projects. After we review your information, the volunteer coordinator will contact you to discuss volunteer opportunities with Second Chance Animal Shelter.
Adult (over 18)
Jr. Volunteer (under 18)
Jr. Volunteers must be accompanied by a parent or guardian while on premises. Jr. Volunteers that are 16 - 18 that are volunteering as part of a school project or requirement can volunteer without a parent or guardian with the approval of the parent/guardian and the school's permission.
Would you like to receive our weekly shelter enewsletter?
Mandatory field Your name: *
Mandatory field Your address: *
Mandatory field Your City, State and Zip: *
Home phone #:
Mandatory field Your email *
What is the best way to contact you?
What type of volunteering are you interested in doing?
Transport (pets and/or supplies)
Assisting at Events
Other (please explain)
Explain other volunteering skills
Do you have any experience or training in the following areas?
Feral Cat Trapping
Other please explain)
Explain other skills or experience
Please provide specifics for any of the above areas you checked:
Please note which location(s) you are interested in volunteering at:
Adoption Center (East Brookfield)
Wellness Center (North Brookfield)
Veterinary Clinic (Springfield)
More Than One Location
Do you have a specific time available to volunteer or are you flexible?
What do you do for a living/what specific talents do you possess that you think would be a benefit to the shelter?
Have you ever volunteered at another shelter or animal-related facility and/or do you hold any animal organization memberships? If so, please explain:
Would you be willing to place and maintain one (1) or more canisters and/or distribute flyers at local businesses to help with fundraising?
Have you ever been charged/convicted of a crime related to animal abuse/abandonment? If so, please explain:
Is there any other information that we should know about to get to know you better?
Do you presently own a dog or cat?
If yes, please list number of pets:
Are all of your pets spayed/neutered/up to date on vaccines?
If not, do you need assistance in getting them spayed/neutered/vaccinated?pets spayed/neutered/up to date on vaccines?
If you do not currently own a cat or dog, have you owned any in the past?
If yes, please describe what happened to them:
In consideration of this opportunity to volunteer, I agree to the following terms and conditions, intending to be legally bound by them:
I will abide by the mission, rules, regulations, policies, procedures and programs of Second Chance Animal Shelter while I am a volunteer; a copy of which will be made available to me for review.
If I stop being a volunteer for Second Chance Animal Shelter for any reason or upon the shelter’s request at any time, I will promptly return all of the Shelter’s supplies, equipment, records, moneys, and other items in good clean condition.
I assume the risks of being bitten, scratched, injured, or frightened by the cats, kittens, dogs, and puppies in connection with my volunteer work for the shelter. Second Chance Animal Shelter is not liable to me for any injuries, damages, liabilities, losses, judgments, costs or expenses whatsoever, which I might suffer or sustain in connection with the performance of my volunteer activities for the Shelter, unless they are the result of the Shelter’s gross negligence or intentional misconduct. I will indemnify, defend and hold the Shelter harmless from and against any claims or losses in connection with my gross negligence or intentional misconduct in my performance of volunteer activities for the Shelter, or my intentional breach of Shelter rules, regulations, policies, procedures and programs.
I understand and agree that the shelter may refuse volunteer applications for any reason.
If I will be sheltering or providing foster care or boarding for any of the Shelter’s animals in my home or business, I consent to the shelter visiting my home or business from time to time to observe the animals and their living quarters.
I have accurately and truthfully completed this Volunteer Application and Agreement.
Any modification to this Agreement must be in writing signed by both partied. This agreement is binding upon the Shelter, me and the Shelter’s and my respective heirs, successors, assigns, executors, and personal representatives.
PERMISSION AND RELEASE OF LIABILITY FOR VOLUNTEERS UNDER THE AGE OF 18
In consideration of the Shelter offering this volunteer opportunity, I/we agree to the following, intending to be legally bound:
My/our child(ren) or child(ren) under my/our guardianship has enough experience with dogs and/or cats and is mature enough to volunteer with the Shelter and to participate with dogs/puppies of all sizes and/or cats/kittens
Whenever my/our child(ren) or child(ren) under my/our legal guardianship participate(s) in the Shelter’s activities, I/we hereby release and agree to indemnify, defend and hold harmless the Shelter, it’s directors, officers, employees, agents, and volunteers and it’s and theirs heirs, successors, assigns and personal representatives from and against liability for any injuries, damages, liabilities, losses, judgments, costs or expenses whatsoever (the “Losses”), which such child(ren) or any pet or other person might suffer or sustain, except any losses which are the result of the Shelter’s gross negligence or intentional misconduct. I acknowledge that there are risks that the child(ren) could be bitten, scratched, injured or frightened by the dogs/puppies and/or the cats/kittens and I/we assume such risks.
I understand and agree that the Shelter may refuse volunteer applications for any reason.
I have accurately and truthfully completed this Permission and Release Form.
This Permission and Release Form is binding upon me, my spouse, partner, and my and his/her respective heirs, successors, assigns, executors, and personal representatives.
Mandatory field I agree that I have read the above statements and under the risks of working with pets: *
How did you hear about us?
Second Chance Website
Adopted a pet
WEnt to our veterinary clinic
Referred by a Friend
If other, please explain:
Mandatory field Please provide the name and number of an emergency contact: *
By typing your name believe you agree that you understand all the information to you and that all information that you provided is true and correct.
Mandatory field Full Name: *
Mandatory field Please type the answer to this security question: *
Please calculate 9 plus 4.