Carolina Boxer Rescue Volunteer Application

Type of Volunteer Work - Use command or control to select multiple:

How Did You Hear About CBR:

Volunteer Information

First Name Last Name Street City State/Province Zip Email Phone

Date of Birth:

Employer:

Job Title:

Length of Employment:

References (Cannot be family members)

Reference 1 Name:

Reference 1 Relationship:

Reference 1 Email:

Reference 1 Phone Number:

Reference 2 Name:

Reference 2 Relationship:

Reference 2 Email:

Reference 2 Phone Number:

Reference 3 Name:

Reference 3 Relationship:

Reference 3 Email:

Reference 3 Phone Number:

I shall indemnify and hold harmless, to the fullest extent allowed by law, Carolina Boxer Rescue, Inc. and its directors, officers, agents, and employees from and against all claims, demands, suits, actions, payments, liabilities, judgments and expenses (including court- ordered attorneys' fees), arising out of or resulting from applicant’s breach of this Agreement or his or her acts or omissions in the performance of this Agreement. Liability includes any claims, damages, losses, and expenses arising out of or resulting from performance of this Agreement that results in any claim for damage whatsoever including any bodily injury, civil rights liability, sickness, disease, or damage to or destruction of tangible property, including the loss of use resulting therefrom. I confirm that I have read and understood the content of this document. By typing my name below, I acknowledge that I am electronically signing this document. I consent to the use of electronic communications and records related to this document.