Contact InformationName *Date *Age *Birth date *Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryCounty Cell Phone Home Phone Work Phone Email *E-Mail Employer Occupation InterestsI am interested in: Fostering (at my home)Trapping (sunrise & sunset)Door‐Knocking (weekends)Staffing Tables at EventsCat Care at a Pet StoreAdministrative WorkTransport (weekdays)FundraisingTranslatingMaking Phone CallsDressing up as our MascotManagement WorkFeeding Outdoor CatsOther ExperienceI have experience with: FosteringMS OfficeTrappingStaffing Tables at EventsCaring for CatsCaring for KittensFundraisingPhotographyWordPressSupervising Others Additional InformationDo you have a driver's license? YesNoDo you have a car? *YesNoDo you have cat of your own? YesNoDo you work full time? YesNoDo you have a computer at home? YesNoAre you affiliated with PetSmart? YesNoAre you affiliated with Petco? YesNoHave you volunteered with an animal rescue before? When can you start? Do you know any of our current volunteers? What days and hours are you available to help? How did you hear about us? This is a legal document which affects, binds, and limits the legal rights of volunteers working with Laurel Cats, Inc., and of individuals agreeing to provide foster homes for cats (persons collectively termed as “Participants.”) Each Participant attests that he or she fully understands the contents of this document, and accepts its terms for him/herself and on behalf of his or her heirs, assigns, personal representatives and next of kin. 1. DISCLOSURE OF RISK: I am fully aware that fostering any animal through Laurel Cats, Inc., or volunteering to assist in rescue, transport, trapping, or related efforts may have both known and unknown risks. I acknowledge that fostering any animal or volunteering at any event involving animal rescue or maintenance may involve potential injury, loss of property, or other physical harm. These risks may include but are not limited to being bitten or clawed by animals, lifting animals or crates, vehicular traffic, actions of other people including but not limited to Participants, volunteers and spectators. 2. ASSUMPTION OF RISKS INHERENT TO PARTICIPATING IN RESCUE OR TRANSPORT WORK: I freely and voluntarily assume and accept the risk of any injury or harm to my person or property which may result from handling or fostering any animal. I understand that it is my responsibility to wear protective garb including leather gloves, long pants, and closed shoes. It is my personal decision whether to seek and secure vaccination for rabies or other known risks of animal handling. 3. GLOBAL RELEASE FROM DAMAGES AND LEGAL ACTION: I agree fully and without reservation to release, absolve and forever discharge Laurel Cats, Inc., as well as all of its directors, officers, volunteers and other Participants, from any potential claim or liability for loss, damage, injury, or expense that I as Participant (or my next of kin) may suffer, arising out of the inherent risks of participation in fostering or volunteering. This release expressly refers to and includes all instruction I may have received, either before or while participating in fostering or volunteering. 4. INSURANCE AND PHYSICAL CONDITION: I understand that Laurel Cats, Inc., is not providing any medical or other insurance benefits to me. I am currently in good health, as attested by my personal physicians, and I declare that I have no physical condition, disability, or injury that would make it dangerous for me to participate in fostering or volunteering with Laurel Cats, Inc. 5. AGREEMENT FOR ARBITRATION: I agree that should any dispute arise regarding the terms of this agreement, or my activities in conjunction with Laurel Cats, Inc., I consent in lieu of litigation to have all such disputes submitted to and resolved by a neutral arbitrator acceptable to all parties to that claim or dispute. 6. PHOTOGRAPHS: I hereby grant Laurel Cats, Inc., permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of Laurel Cats, Inc., and will not be returned. I hereby irrevocably authorize Laurel Cats, Inc., to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo. I hereby hold harmless, release, and forever discharge the Laurel Cats, Inc., from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. BY TYPING MY NAME BELOW, I CERTIFY THAT I HAVE READ THE ABOVE AGREEMENT, AND I FULLY UNDERSTAND THIS IS A RELEASE OF LIABILITY WHICH I HAVE SIGNED OF MY OWN FREE WILL, GIVING UP SUBSTANTIAL RIGHTS. ITS TERMS HAVE NOT BEEN CHANGED ORALLY, AND I HAVE SIGNED AND DATED THIS AGREEMENT VOLUNTARILY.Type your name here if you agree to the terms of our volunteer agreement above. Type today's date here if you agree to the terms of our volunteer agreement above. FOR PARTICIPANTS OF MINORITY AGE (under the age of 21): This is to certify that, as parent or guardian with legal responsibility for this Participant, I fully understand the risks posed by his/her volunteer activities, and I attest that the minor is in good health and fitness, is fully capable of handling animals, and is properly clothed and vaccinated, as indicated above. I recognize that adult supervision of the minor’s activities cannot be assured. I accept full responsibility for his/her participation, and I agree to release Laurel Cats, Inc., its officers, directors and other volunteers from any potential liability, and to indemnify any person or entity charged with future liability for injury or damage to the minor Participant.Type the names of any minors for whom you are the parent or legal guardian and for whom you are granting permission to volunteer with Laurel Cats, Inc. Type your name here if you agree to the terms of our volunteer agreement above on behalf of the minor(s) named above. Type today's date here if you agree to the terms of our volunteer agreement on behalf of the minor(s) named above. Example: 12This box is for spam protection - <strong>please leave it blank</strong>: