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Waiver
This application is the first step in a process towards becoming a volunteer at Longview Animal Care and Adoption Center. All volunteers must attend an orientation, pass a state of Texas background check, and complete all required training before becomming an official member of the volunteer team.
Understand that background inquiries will be made and should investigation at any time disclose any misrepresentation or falsification, an application may be rejected or volunteer dismissed from service at LACAC. All information included on this application must be true and complete to the best of your knowledge and belief. Longview Animal Care and Adoption can remove volunteers at their discretion.
Waiver and Release Agreement and Authorization to Consent to Medical Treatment
This agreement is entered into between the Volunteer named below and the City of Longview, acting through the LACAC (defined below).
In this agreement, each of the following words has the meaning assigned below:
“Indemnitees” means the City of Longview and all staff members, employees, officers, directors, public officials, agents, and representatives of the City of Longview, including without limitation all staff members, employees, officers, directors, public officials, agents, and representatives of the LACAC.
“Indemnitee” means any one of the Indemnitees.
“LACAC” means the Longview Animal Care & Adoption Center.
“LACAC Activities” means any and all activities (whether one or more) that occur on the LACAC property (whether or not offered by, supervised by, or sponsored by the LACAC) and any and all activities (whether one or more) offered by, supervised by, or sponsored by the LACAC (whether or not occurring on the LACAC property).
“Volunteer’s Children” means any and all minor children and other persons (whether one or more) under the guardianship of Volunteer who will be participating in any LACAC Activities.
Volunteer, on behalf of Volunteer and all Volunteer’s Children (if any), enters into this agreement as consideration for being allowed to participate in LACAC Activities. This agreement is for the benefit of the Indemnitees.
Volunteer has been advised that LACAC Activities, including without limitation the activity of working with animals, are hazardous and may involve contact with animals that are unpredictable. Further, Volunteer is aware that injuries, loss of or damage to personal property, and death may occur as a result of the participation of Volunteer or of Volunteer’s Children (if any) in any LACAC Activities.
Volunteer understands that the following are some, but not all, of the risks associated with LACAC Activities:
Bites or scratches from dogs, cats, rabbits, rodents and birds
Being knocked down or pulled excessively by a dog
Injuries relating to wrist/hand/fingers from a dog leash
Slips/trips/falls resulting from wet floors/kennels or equipment
Hitting heads on objects such as cage doors, kennel walls, hose boxes, etc.
Water or cleaners sprayed in eyes
Injuries resulting from cage doors, equipment, etc.
Flea/tick bites or ring worm infestation
Internal or external parasites
Zoonotic illnesses (human illness contracted from animals)
Animal illness exposure to animals at home
Injuries related to lifting animals, food, litter or equipment
Injuries caused from grooming equipment; such as clipper blades, shears, driers
Exposure to cleaners, latex gloves, bleach, parasite control products
Exposure to or incidents relating to the public or any persons attending or participating in any LACAC
Activities (outbursts, inappropriate contact, etc.)
Loss of personal property
Any type of damage to vehicles parked on LACAC grounds
Damage to clothing from animals, cages, chemicals, etc.
Volunteer agrees that Indemnitees shall not be held responsible or liable for any personal injury or other injury, including death, damage, loss or expense to Volunteer, to Volunteer’s Children (if any), or to the property of Volunteer or of Volunteer’s Children (if any), that results from or arises out of any LACAC Activities, whether or not such injury, death, damage, loss or expense is caused by negligence of any Indemnitee or a third party. Volunteer fully, completely and unconditionally waives, and releases each and every Indemnitee from, all rights, liabilities, duties, claims, charges, demands, causes of action, damages, costs, attorney fees and expenses of any kind that Volunteer or Volunteer’s Children (if any) may have now or in the future against any Indemnitee relating to or arising out of participation in any LACAC Activities.
Volunteer represents and warrants that Volunteer and each of Volunteer’s Children (if any) are physically and mentally fit to participate in LACAC Activities, including without limitation, to safely work with animals and the public at the LACAC. Further, Volunteer agrees to accompany Volunteer’s Children when any of Volunteer’s Children participates in any LACAC Activities.
Should an accident or other medical emergency occur while participating in any LACAC Activities or while Volunteer or any of Volunteer’s Children is traveling to or from any LACAC Activities and LACAC staff members are unable to timely reach emergency contacts for medical authorizations, then Volunteer hereby gives consent for LACAC staff members to authorize medical treatment for Volunteer and/or Volunteer’s Children (if any).
Volunteer represents and warrants that Volunteer and each of Volunteer’s Children (if any) has current medical insurance coverage and Volunteer agrees to be responsible for any and all billings and debts incurred with respect to such medical treatment or services.
Volunteer represents and warrants that Volunteer has the authority to enter into this agreement on behalf of Volunteer and on behalf of Volunteer’s Children (if any).
If any provision of this Agreement is found to be unenforceable in any way, it shall be enforced to the maximum extent possible and all other provisions of the Agreement shall remain in full force and effect.
This application is the first step in a process towards becoming a volunteer at Longview Animal Care and Adoption Center. All volunteers must attend an orientation, pass a state of Texas background check, and complete all required training before becomming an official member of the volunteer team.
Understand that background inquiries will be made and should investigation at any time disclose any misrepresentation or falsification, an application may be rejected or volunteer dismissed from service at LACAC. All information included on this application must be true and complete to the best of your knowledge and belief. Longview Animal Care and Adoption can remove volunteers at their discretion.
Waiver and Release Agreement and Authorization to Consent to Medical Treatment
This agreement is entered into between the Volunteer named below and the City of Longview, acting through the LACAC (defined below).
In this agreement, each of the following words has the meaning assigned below:
“Indemnitees” means the City of Longview and all staff members, employees, officers, directors, public officials, agents, and representatives of the City of Longview, including without limitation all staff members, employees, officers, directors, public officials, agents, and representatives of the LACAC.
“Indemnitee” means any one of the Indemnitees.
“LACAC” means the Longview Animal Care & Adoption Center.
“LACAC Activities” means any and all activities (whether one or more) that occur on the LACAC property (whether or not offered by, supervised by, or sponsored by the LACAC) and any and all activities (whether one or more) offered by, supervised by, or sponsored by the LACAC (whether or not occurring on the LACAC property).
“Volunteer’s Children” means any and all minor children and other persons (whether one or more) under the guardianship of Volunteer who will be participating in any LACAC Activities.
Volunteer, on behalf of Volunteer and all Volunteer’s Children (if any), enters into this agreement as consideration for being allowed to participate in LACAC Activities. This agreement is for the benefit of the Indemnitees.
Volunteer has been advised that LACAC Activities, including without limitation the activity of working with animals, are hazardous and may involve contact with animals that are unpredictable. Further, Volunteer is aware that injuries, loss of or damage to personal property, and death may occur as a result of the participation of Volunteer or of Volunteer’s Children (if any) in any LACAC Activities.
Volunteer understands that the following are some, but not all, of the risks associated with LACAC Activities:
Bites or scratches from dogs, cats, rabbits, rodents and birds
Being knocked down or pulled excessively by a dog
Injuries relating to wrist/hand/fingers from a dog leash
Slips/trips/falls resulting from wet floors/kennels or equipment
Hitting heads on objects such as cage doors, kennel walls, hose boxes, etc.
Water or cleaners sprayed in eyes
Injuries resulting from cage doors, equipment, etc.
Flea/tick bites or ring worm infestation
Internal or external parasites
Zoonotic illnesses (human illness contracted from animals)
Animal illness exposure to animals at home
Injuries related to lifting animals, food, litter or equipment
Injuries caused from grooming equipment; such as clipper blades, shears, driers
Exposure to cleaners, latex gloves, bleach, parasite control products
Exposure to or incidents relating to the public or any persons attending or participating in any LACAC
Activities (outbursts, inappropriate contact, etc.)
Loss of personal property
Any type of damage to vehicles parked on LACAC grounds
Damage to clothing from animals, cages, chemicals, etc.
Volunteer agrees that Indemnitees shall not be held responsible or liable for any personal injury or other injury, including death, damage, loss or expense to Volunteer, to Volunteer’s Children (if any), or to the property of Volunteer or of Volunteer’s Children (if any), that results from or arises out of any LACAC Activities, whether or not such injury, death, damage, loss or expense is caused by negligence of any Indemnitee or a third party. Volunteer fully, completely and unconditionally waives, and releases each and every Indemnitee from, all rights, liabilities, duties, claims, charges, demands, causes of action, damages, costs, attorney fees and expenses of any kind that Volunteer or Volunteer’s Children (if any) may have now or in the future against any Indemnitee relating to or arising out of participation in any LACAC Activities.
Volunteer represents and warrants that Volunteer and each of Volunteer’s Children (if any) are physically and mentally fit to participate in LACAC Activities, including without limitation, to safely work with animals and the public at the LACAC. Further, Volunteer agrees to accompany Volunteer’s Children when any of Volunteer’s Children participates in any LACAC Activities.
Should an accident or other medical emergency occur while participating in any LACAC Activities or while Volunteer or any of Volunteer’s Children is traveling to or from any LACAC Activities and LACAC staff members are unable to timely reach emergency contacts for medical authorizations, then Volunteer hereby gives consent for LACAC staff members to authorize medical treatment for Volunteer and/or Volunteer’s Children (if any).
Volunteer represents and warrants that Volunteer and each of Volunteer’s Children (if any) has current medical insurance coverage and Volunteer agrees to be responsible for any and all billings and debts incurred with respect to such medical treatment or services.
Volunteer represents and warrants that Volunteer has the authority to enter into this agreement on behalf of Volunteer and on behalf of Volunteer’s Children (if any).
If any provision of this Agreement is found to be unenforceable in any way, it shall be enforced to the maximum extent possible and all other provisions of the Agreement shall remain in full force and effect.
Check here to show you accept the terms stated above for yourself or for a minor Volunteer for which you are the parental guardian.