Thank you for volunteering. Click here if you prefer a printable version of our Volunteer Waiver Form: Volunteer Waiver Form Name*FirstLastBirth Date* Address*Street AddressAddress Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateZIP CodePhone*Email*EMERGENCY CONTACT INFORMATION - In case of an emergency, I authorize The Mesabi Humane Society to notify:Name*FirstLastRelationship*Phone*By signing this form I am acknowledging that I have read the VOLUNTEER WAIVER AND LIABILITY RELEASE form and fully understand its content and meaning.Name*FirstLastDate* If under the age of 18 years old a legal guardian must sign.FirstLastTHE MESABI HUMANE SOCIETY VOLUNTEER WAIVER AND LIABILITY RELEASECheck to show that you have read and understand each section*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 The Mesabi Humane Society 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 The Mesabi Humane Society I am not covered by workers’ compensation or any other insurance policy through The Mesabi Humane Society 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 The Mesabi Humane Society 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 The Mesabi Humane Society my family may come in contact with animals at The Mesabi Humane Society 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.My signature to this volunteer liability release attests to my intent to hold harmless and release from all liability The Mesabi Humane Society or any of its past, present or future Officers, agents, volunteers, employees or assigns, from all acts which are related to the normal performance of required and implied duties. My signature, whether original, by fax or any other electronic means, is valid as if it were an original signature.