Volunteer Waiver One-time Events & Projects (15 and over)
When: _____________________________
Where: Pima Animal Care Center
Info: Interacting with dogs and cats.
Possible Risks:
Animal scratches
Animal bites
Contact with Zoonotic diseases, including but not limited to: ring worm, intestinal parasites etc.
I understand that the volunteering event/project will include the following activities, each of which has the
potential risks noted above, as well as other risks commonly associated with interacting with animals.
Please take the following precautions:
Watch for rattlesnakes, other animals, scorpions, wildlife and the hazards they create.
Wear pants, close toed and close heeled shoes. Do not wear sandals.
Apply sunscreen before you go out to work in the sun.
Drink plenty of fluid prior to and during your shift to stay hydrated.
If you need rest or dont feel well, take appropriate action.
Use caution when crossing the street to the lake.
Volunteers Name ____________________________________________________ AGE_______________
Phone_________________ Address______________________________________________________
Emergency Contact_______________________ Relationship__________ Phone__________________
To receive our monthly newsletter, write your email address ____________________________________
Permission Slip and Release
I hereby acknowledge that I have read and understand the risks associated with this volunteer activity. I
have had the opportunity to ask questions and have them answered. By signing below, I hereby release
and agree to hold harmless Pima County and its representatives to the fullest extent allowed by law from
any and all claims for personal or bodily injury and property damages that may occur or result from my
participation in these activities.
Volunteers Signature:_________________________________________ Date:____________________
If participant is under the age of 18, please have guardian sign below:
Guardians Signature:_________________________________________ Date:____________________