Adult Volunteer Release Form Date* Date Format: MM slash DD slash YYYY Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Enter Email Confirm Email Our organization uses a private Facebook group to communicate among members. Please enter your Facebook name so we can add you to the group. We will not share this information outside of our group.*How would you like to help?* Transport dogs (less than 50 miles) Transport dogs (over 50 miles) Help at events Start fostering Foster-to-adopt a specific dog Do home checks Help with website Help with admin/data entry Photography Social media If you are willing to travel beyond your city, please list any surrounding areas in which you could help perform home checks:Thank you for wanting to foster! Please fill out our foster application, if you haven't done so already: https://bigbonescaninerescue.com/foster-application-contract/Emergency Contact Name:*Emergency Contact Phone:*By providing my signature below, I hereby give my consent to perform volunteer services for Big Bones Canine Rescue Service, Inc. (herein referred to as BBCR). I fully understand and acknowledge that my services are to be performed subject to all rules and regulations (which may be modified from time to time), whether verbal or otherwise set by BBCR, its employees, or its representatives. 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, there are inherent risks of injury, including physical harm caused by animals. On behalf of myself, I hereby release, discharge, and forever hold harmless BBCR, its agents, servants, volunteers, and employees from any and all claims, causes of action, damages, or any nature of cause, including costs and attorneys incurred, based on damages or injuries in any way connected with services for BBCR, including but not limited to animal bites, accidents, illnesses, or injuries. I understand that public relations are an important part of volunteering at BBCR. On behalf of myself, I allow BBCR to use any photographs of me or my family for public relations efforts. I will represent the rescue with the utmost of caution, class, and respect while performing services for BBCR and on my own social media networking sites.Printed Full Name*Date of Birth* Date Format: MM slash DD slash YYYY Signature* This iframe contains the logic required to handle Ajax powered Gravity Forms.