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Volunteer Waiver & Agreement
PurringHeartsVA is a division of Lionhearts, Inc.
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Email
*
Your email
Full Name:
*
Your answer
Phone Number
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Your answer
Email
*
Your answer
Address
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Your answer
While volunteering with Purring Hearts VA:
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I agree to treat all and any animals with respect
I agree to respect Purring Hearts VA staff and volunteers
I agree to complete tasks asked of me to the best of my ability
Required
I agree that I am responsible for any injuries that occur. Purring Hearts VA staff and other volunteers are not responsible for my actions, injuries, damages, or incidents that occur.
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Yes, I agree
No, I do not agree
Type your name as a signature:
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Your answer
I am over 18
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Yes
No
List name and birthdate of children under 18 that will be volunteering under supervision of parent/guardian:
Your answer
Today's Date
*
MM
/
DD
/
YYYY
Send me a copy of my responses.
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