By signing this form I agree to the following:
1. I understand that the handling of animals and other volunteer activities may place me in a hazardous situation and could result in bodily; including, without limitation, animal bites or scratches; illness; death; or property damage. On behalf of myself, my heirs’ personal representatives and assigns, I hereby release, forever discharge, indemnify and hold harmless the Humane Society of West Michigan and its successors, assigns, directors, employees, and agents from any and all claims, liability, causes of action and demands of any nature, whether known or unknown, arising out of or in connection with my volunteer activities.
2. Understanding that public relations are an important part of a volunteer’s activities, I hereby grant the Humane Society of West Michigan the right to use my name, portrait, photograph, video segment, likeness, recording, or other image, and those of any minor named below, on whose behalf I am signing, for marketing, public relations and/or educational purposes. I grant the Humane Society of West Michigan the right to use the name or image described above in print, video and/or electronic media. I understand that the Humane Society of West Michigan retains all rights to use, publish, or distribute the portraits, photographs, video segments, likenesses, recordings, or other images and has the right to do so without seeking any further permission from me or providing me any royalty. I understand that notification is not a condition to the Humane Society of West Michigan’s use or publication of my name or image for marketing, public relations and/or educational purposes.
3. I grant permission for the Humane Society of West Michigan to conduct a criminal background check.
