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Veterinary Care



2021 Kids Camp Counselor Volunteer Application

Are you 15-18 years old and eager to earn service hours? Do you enjoy working with kids & animals? Join us as a volunteer camp counselor where kids ages 6-14 will celebrate animals during a week-long summer camp at the Humane Society of Missouri!
Campers will enjoy animal interactions & educational activities, travel to our Longmeadow Rescue Ranch in Union, MO & much more!
**All applicants must be age 15 or older by July 1, 2021**

1. Please tell us about YOU!

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We would like each counselor to be immersed in at least two full weeks of camp. Please let us know your availibility.

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Question - Required - Week-long Kids for Critters Camps are offered (9am-3pm Mon-Fri) this summer, and we would need you to be available from 8:30am-3:30pm each day of the week for the chosen camp. Please check the week-long camp(s) are you available.
Please make at least 1 selection from the choices below.

 

In return for being allowed to participate at the Humane Society of Missouri, I release and agree not-to-sue the Humane Society of Missouri, its employees, sub-contractors, sponsors and affiliates from all present and future claims that may be made by me, my family, estate, heirs, or assigns for property damage, personal injury, or wrongful death arising as a result of my participation and caused by the ordinary negligence of the parties listed above, wherever, whenever, or however the same may occur. I understand and agree that those listed above are not responsible for any injury or property damage arising out of my participation, even if caused by their ordinary negligence. I understand that my participation involves certain risks, including, but not limited to, serious injury and death. I am voluntarily participating at the Humane Society of Missouri with knowledge of the danger involved and agree to accept all risks of participation and all related activities. I agree to let the parties use my name, likeness, and demographic information free of charge in any manner for any purpose. I understand that this document is intended to be as broad and inclusive as permitted by the laws of the state of Missouri and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect. I further agree that any legal proceedings related to this waiver will take place in St. Louis, Missouri.

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Question - Required - We will also be offering After Camp Care from 3-5pm during these week-long camps above. Please choose at least (3) days when you will be available. Activities will include Mooooovie Matinee (Animal-style), our Shelter Buddies Reading Program (reading to shelter pets) and crafts.
Please make at least 2 selections from the choices below.

 

I hereby give and grant to the Humane Society of Missouri, its employees, nominees, agents, successors and assigns, unlimited authorization, consent and permission to publish, republish, reproduce, distribute and, in any other manner, to use, any and all information about participant (excluding medical information) and any and all reproductions of their likeness (photographic or otherwise) and of their voice, whether or not related to any affiliation or association with the Humane Society of Missouri, and with or without the use or disclosure of participants name. I understand and agree that the authorizations, consents and permissions contained herein are given voluntarily and with the full understanding that no compensation or other payment of any kind will be paid to participant or to any other person for any of the agreements contained herein or for the exercise or use by the Humane Society of Missouri of any of the authorizations, consents or permissions granted in this Waiver and Release of Liability Authorization and Consent. I am of legal age and am freely signing this agreement on behalf of myself. I have read this form and understand that by signing this form, I am giving up legal right and remedies on behalf of myself, my family, estate, heirs, and/or assigns. I hereby consent and agree to the foregoing Waiver and Release of Liability Authorization and Consent for myself and I hereby give and grant the Humane Society of Missouri the authorizations, consents and permissions stated in the foregoing Waiver and Release of Liability Authorization and Consent, upon the terms and conditions stated therein.

 

WAIVER AND RELEASE OF LIABILITY AUTHORIZATION AND CONSENT

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Parent or Legal Guardian of Teen Volunteers Younger Than 18 years of age

I am the parent/legal guardian of the participant. I am of legal age and am freely signing this Waiver and Release of Liability Authorization and Consent on behalf of the participant. I hereby give my consent to allow participant to volunteer for the Humane Society of Missouri. I have read this form and fully understand that by signing this form, I am giving up legal rights and remedies on behalf of myself, the participant, and his/her family, estate, heirs, and/or assigns. As parent/legal guardian of the participant, for myself and for and on behalf of said participant, I hereby consent and agree to the forgoing Wavier and Release of Liability Authorization and Consent, and for myself and for and on behalf of said participant, I hereby give and grant the Humane Society of Missouri the authorizations, consents and permissions stated in the foregoing Wavier and Release of Liability Authorization and Consent, upon the terms and conditions stated therein.

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