Name:          Address/City/State/Zip:     

Email Address (required)              Primary Phone (required)         

Paw Placement has multiple Kitty Caretaking Locations. Please specify where you are interested in volunteering:

SCOTTSDALE                                                   CHANDLER
     PETsMART - 90th St/Shea                                      Cat House - Warner/101
     SHIFT HOURS: Wed - Fri 6:30-8:30PM                     SHIFT HOURS:
     Sat/Sun 11AM-1PM or 1PM-3PM                             Morning and Afternoon shifts - 7 days a wk
 
Have you ever volunteered with another animal rescue organization?       Yes         No
If YES, which organizations and what was your role? 

Are you comfortable in cleaning, caring and giving oral medications to cats and kittens?        Yes        No
(Kitty caretakers are trained before picking up shifts independently)

Kitty Caretakers are asked to pick up at least one shift a month. Are you able to make this commitement?   
Yes        No

Please check the Kitty Caretaker shifts you prefer (check all that apply):

SCOTTSDALE and CHANDLER Locations:  
Monday               Morning Shift          Afternoon/Evening Shift
Tuesday               Morning Shift          Afternoon/Evening Shift
Wednesday          Morning Shift          Afternoon/Evening Shift
Thursday              Morning Shift          Afternoon/Evening Shift  
Friday                  Morning Shift          Afternoon/Evening Shift
Saturday              Morning Shift          Afternoon/Evening Shift
Sunday                Morning Shift          Afternoon/Evening Shift
I have no preference and will fill in where I can

Volunteer Liability Waiver:

I acknowledge that I am over 18 years of age and have the capacity to legally enter into a contract or have obtained the signature of my parent or legal guardian, in order for me to have the right to participate as a Paw Placement Phoenix/Northern Arizona volunteer. I hereby release Paw Placement and any of its Directors or volunteers from ANY AND ALL LIABILITY, CLAIMS, DEMANDS, CAUSES OF ACTION, LOSS, DAMAGE, OR INJURY to person or property including any death and/or serious injury which may result while preparing for, or participating as a Paw Placement volunteer.

I understand that participating in outdoor activities related to dog handling is physically demanding, as is caring for cats in a confined space, and I hereby verify that I am physically able to engage in this activity. I am aware of the risks of injury from participating in activities regarding outdoor recreations or in duties pertaining to caring for cats and dogs in confined spaces. I am aware of the risks associated with rescue animals, including but not limited to, biting and scratching.

I HEREBY RELEASE PAW PLACEMENT  FROM ANY CLAIM WHATSOEVER WHICH MAY ARISE AS A RESULT OF ANY FIRST AID, MEDICAL TREATMENT, OR ANY SERVICE OR ASSISTANCE PROVIDED TO ME IN CONNECTION WITH ANY INJURY THAT ARISES FROM VOLUNTEERING OR PARTICIPATING IN ACTIVITIES ASSOCIATED WITH MY ROLE AS VOLUNTEER WITH PAW PLACEMENT.

I have read this waiver and release of liability and understand that iti is a full and complete unconditional release form and waiver of liability andindenmity for any injury I may suffer. BY CHECKING THE "YES" SQUARE and TYPING MY NAME IN THE BELOW FIELD, I waive my right to all legal recourse.

I agree to the terms of Paw Placement's release of liability form:   YES           No

Volunteer Signature:

THANK YOU FOR FILLING OUT THE VOLUNTEER FORM. A Paw Placement volunteer will contact you within the next 48 hours to discuss training.