VOLUNTEER APPLICATION AND RELEASE FORM

The information provided to Brave Bully Rescue by completing this volunteer application and release form will enable us to direct you towards an appropriate, rewarding experience.

Please complete all pages of this application;

Then sign and date the waiver.

Thank you!

Personal Information

*Name
*Address
Home Phone
*Cell Phone
*Email *Date of Birth*
Medical Insurance Co. Group #
TETANUS VACCINE IS REQUIRED FOR ANYONE WHO WORKS WITH THE ANIMALS.
Date of Last Booster*
*Please attach a copy of your last booster shot record.

Emergency Contact Information

*Name
*Relationship
*Primary Phone
Secondary Phone

Education

*Are you currently a student?
*Name of school currently attending
*Are you volunteering for class credit?
How many hours?
*I am a:
*Last year of school completed:

Employment

Are you currently employed?
Current Employer
Have you volunteered with any other rescue/shelter before
Please share your previous rescue/shelter experience.
Do you have any special experience, skills, training, interests, or hobbies you would like to share? Check any areas in which you would like to participate.
The dogs rescued by Brave Bully Rescue are American Pit Bull Terriers and/or Pit Bull type dogs. Are you comfortable handling this breed?

Availability

Please select the days you are available to volunteer.
What hours are you able to volunteer? Weekdays:
Weekends:
How often are you able to volunteer?

Please read the following carefully before signing

CONFIDENTIALITY AGREEMENT

Information concerning the management and operation of our agency is generally not known to the public and should be kept confidential. Guidelines for protecting confidentiality it is important that we diligently protect the confidentiality of information. The following guidelines have been developed for this purpose:

  • Confidential information should be shared only with those inside the agency whose jobs require them to have access to the information or when the law requires or protects the release of such information.
  • Board members and volunteers should not disclose sensitive or non-public information to people outside the agency or discuss it in public places.
  • When information is disclosed to individuals having a business relationship with the agency that requires such disclosure, it should be done with the understanding that the information will be kept in confidence, and only the minimum amount of information necessary to accomplish the function should be disclosed.
  • Documents containing sensitive information - including information stored on computer systems - should be handled carefully and must be properly stored.
  • Discussions between the agency and its lawyers are usually privileged and should be kept confidential. Any disclosure of those discussions to a third party my result in a waiver of the attorney-client privilege and possible harm to the agency's interests. This point is especially important due to the nature of prosecuting animal cruelty cases.

Volunteer Release Form

I hereby agree to accept a position as a volunteer worker for brave bully rescue, and in doing so, I agree to comply with all of the rules and regulations which may be established from time to time by brave bully rescue, and I understand that failure to do so may result in my immediate termination as a volunteer. I acknowledge that my services are provided strictly on a volunteer basis, without any pay of any kind, and without liability of any nature on behalf of Brave Bully Rescue. All services will be performed at my own risk. I recognize that in handling animals and performing other volunteer tasks there exists a risk of injury, exposure to zoonotic diseases (I.E. Ringworm, giardia, rabies, etc) and physical harm caused by the animals. On behalf of myself, my heirs, personal representatives, and executors, I hereby release, discharge, indemnify and hold harmless brave bully rescue, its agents, servants, and employees from any and all claims, causes of action, or demands, of any nature or cause, including costs and attorney’s fees incurred or sustained by me in any way connected with my services for brave bully rescue, including but not limited to animal bites, accidents or injuries.


If under 18, type parent's name