Full Name* Address City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code Mobile Phone* Home Phone Email* Are you 18 or older?* Yes No Birthday Are you volunteering to fulfill a community service hour requirement? Yes No If yes, are these hours school related, work related or court ordered?InterestsTell us in which areas you are interested in volunteering:* Feeding and Cleaning Socializing Cats Fundraising Office/Administrative Creating Signs/Graphics Fostering Newsletter Production Photography Gardening Handyman Woodworking/building Do you have a background or experience in anything not mentioned that would add to our success?AvailabilityAre you able to commit to: Once a week Twice a week As Needed Minimum commitment requirement of 3 months:* Yes No When can you start? During which hours are you available for volunteer assignments?AM Monday Tuesday Wednesday Thursday Friday Saturday Sunday PM Monday Tuesday Wednesday Thursday Friday Saturday Sunday How can we show our appreciation for your help? Summarize any Previous Work/Volunteer Experience:EMERGENCY CONTACTEmergency Contact Name* Emergency Contact Mobile Phone* Media Permission When participating in Fat Kitty City activities, I agree that I (and/or my child, as the case may be) may be photographed for print, videotaped or otherwise electronically imaged. The images will be the sole property of Fat Kitty City and may be used by Fat Kitty City in any and all promotional materials, news releases, websites, YOUTUBE videos and any other published formats. Waiver and Consent In consideration for being permitted by Fat Kitty City to volunteer for Fat Kitty City, I hereby waive, release and discharge any and all claims for damages for personal injury, death or property damage which I may have, or which may hereafter accrue to me, as a result of my volunteering for Fat Kitty City. This release is intended to discharge in advance Fat Kitty City and its officers, employees, volunteers and agents (the “Fat Kitty City Group”) from any and all liability arising out of or connected in any way with my volunteer activities for Fat Kitty City, even though that liability may arise out of negligence or carelessness on the part of the Fat Kitty City Group. I understand that volunteering for Fat Kitty City involves an element of risk and danger of accidents. Knowing those risks, I hereby assume those risks. It is further agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns. I agree to indemnify and hold harmless the Fat Kitty City Group from all loss, liability, damage, cost or expense which they may incur as the result of my death or an injury or property damage that I may sustain or cause volunteering for Fat Kitty City.FKC’s Location Agreement Fat Kitty City does not publish nor publicize its location for several reasons. Please help us keep our kitties in a safe environment by agreeing to keep our location secure and not sharing our location.Initial if you agree:* Thank you for your interest in volunteering with Fat Kitty City. Volunteer hours are not guaranteed and are given based on availability. Applicant’s Printed Name: Δ
