WALKER COUNTY ANIMAL SHELTER
AND ADOPTION CENTER
5488 North Marble Top Road Chickamauga, Georgia 30707
This Waiver and Release of Liability, Indemnification and Hold Harmless Agreement (“Agreement”) is between the Volunteer and Walker County
Animal Shelter and Adoption Center (WCASAC), 5488 North Marble Top Road, Chickamauga, Georgia 30707 and its directors, officers, members,
employees, agents, assigns, legal representatives and successors.
As a volunteer that is 18 years old or older, I hereby understand and agree to the following: I agree to WAIVE and RELEASE WCASAC from all
liability, manner of actions, causes of action, debts, contracts, claims and demands for or by reason of any illness, death, damage, loss or injury
to person and property, which has been or may be sustained as a direct or indirect consequence of the Volunteer’s volunteering at or for
WCASAC and notwithstanding that such damage, death, illness, loss or injury may have been caused partly by the negligence of WCASAC. I agree
to INDEMNIFY and HOLD HARMLESS WCASAC for any costs or liabilities which they may incur as a result of my volunteering at or for WCASAC.
I understand that because I may handle and/or come in contact with animals, it is important to discuss being vaccinated against tetanus with my
physician. I release WCASAC from all responsibility that may occur because of my not pursuing this matter further and I understand whatever
decision I make is at my own risk. I have read, understand and agree to the above tetanus information.
I acknowledge and understand that as a volunteer of WCASAC, I am not covered by workers' compensation or any other insurance policy
through WCASAC, for any damages or injuries I may sustain during volunteer activities. I understand that I am responsible for obtaining health
insurance coverage through an independent health insurance company.
I fully understand that as a part of my volunteer work for WCASAC, I will come into contact with animals either by directly handling them,
fostering or through assisting in their care and adoption. Further, I understand that working with animals carries a risk of injury, and that it is
possible that I may be bitten, scratched, and/or otherwise injured.
I fully understand that as a volunteer and/or foster home for WCASAC, my family may come in contact with animals at WCASAC events, and I and
my family and/or guests may come into contact with animals in my home if I am fostering an animal. I understand that working with animals
carries a risk of injury, and it is possible that my family and/or guests may be bitten, scratched and/or otherwise injured.
Thank you for completing this application and for your interest in volunteering with us. Please note, completing this form does not guarantee
placement as a volunteer with WCASAC.
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