Circle Tail Volunteer Contract and Liability Waiver for Adults
I wish to volunteer for Circle Tail, Inc. (“CTI”), a non-profit public charity that, among other things, provides assistance dogs to people with disabilities and strengthens the human-canine bond through educational programs, dog training, and adoption of career-change dogs. I understand that my responsibilities may include the fostering, handling, caring, training, feeding, cleaning, and exercising of puppies and dogs on the premises of CTI at 8834 or 8778 Carey Lane, Pleasant Plain, OH or at my home or other off site locations, including, without limitation, in public or private facilities.
I have had an opportunity to review the CTI premises and operations and to question CTI Executive Director, Marlys Staley, or designated volunteer about CTI and its volunteer program. I agree that CTI will not be liable for any injury or loss sustained by me, my heirs, successors, spouses, agents, executors, legal representatives, administrators and assigns at CTI or as a result of my volunteer activities with CTI off site. I agree to notify CTI directly, in writing, if, at any time, I wish to revoke this contract. I am at least 18 years old.
If you are having difficulties submitting this form, you are welcome to print and fax it to 513-277-6064. Please make sure all the appropriate blanks are clearly completed. We would appreciate knowing the details of the difficulties you had, so we can correct problems. Please email us at firstname.lastname@example.org.
Circle Tail, Inc.
8834 Carey Lane
Pleasant Plain, OH 45162