CENTER FOR AVAIN REHABILITATION & EDUCATION, INC.
A 501(c)(3) Non-Profit Tax-Exempt Exotic Bird Organization

VOLUNTEER APPLICATION

Name: ______________________________ Home Phone: (_______) _________________

Address: ________________________________________________________________________

City, State, Zip: ___________________________________________________________________

e-mail Address: ___________________________________________________________________

Have you had any previous experience (volunteer / employee) with any other breed rescue group or
animal shelter? Please explain:

_______________________________________________________________________________

_______________________________________________________________________________

Do you have any professional experience working with animals? (i.e. vet tech, veterinarian, trainer,
groomer, etc.)? Please explain:

_______________________________________________________________________________

_______________________________________________________________________________

Please tell us why you would like to volunteer with the Center for Avian Rehabilitation & Education,
Inc. (C.A.R.E., Inc.):

_______________________________________________________________________________

_______________________________________________________________________________

Days available: Mon     Tues   Wed     Thur     Fri     Sat     Sun   Times available: _____AM _____PM

All volunteers must start at Level 1, which includes changing papers, food and water at the Center.

I am also interested in helping in the following way:

_____Fostering _____Fundraising _____Adoption Follow-up _____Reference Checks

_____Transportation of birds to Center/Veterinarian _____Adoptions _____Sales

_____Computer skills (Web site, newsletters, etc.) _____Behavioral Consultations

_____Promotional Events (pet shows, tables at pet stores) _____Other

Do you have any pets? Please list below:

Name(s): ____________________________________ Species/breed:_________________________

Age:________________  Sex:  M  F        Spayed  /  Neutered  /  Intact

Do your animals have behavior issues with ANY other animals?  Please explain:

________________________________________________________________________________

_________________________________________________________________________________

________________________________________________________________________________

What is your current veterinarian’s name and phone number? ________________________________

_________________________________________________________________________________

Please describe your allergies, if any: _____Prescription _____Latex _____Non-Prescription ____Other

_________________________________________________________________________________

Medical Conditions: ________________________________________________________________

Date of last Tetanus Vaccination: _______________________

In case of emergency, please contact: _________________________________________________

Relationship: ___________________________ Phone Number: ___________________________

INSURANCE WAIVER

The undersigned volunteer and the Center for Avian Rehabilitation & Education, Inc. (C.A.R.E., Inc.)
enter into this Agreement as follows:

Volunteer understands that C.A.R.E., Inc. makes no warranty as to age, health, breed, habits and
disposition of the birds housed at the Center and completely and fully releases C.A.R.E., Inc. from
any liability for any injury or damage this pet could inflict upon any person or property and for any
illness of the pet or for the transmittal of any illness or parasite to any other pet or person. Volunteer
further indemnified and holds harmless C.A.R.E., Inc. for any actions, suits, fees or expenses
(including actual attorney’s fees) arising out of any injury from a pet from C.A.R.E., Inc.

Signed: ________________________________ Dated: __________________ (Volunteer)

Signed: ________________________________ Dated: __________________ (C.A.R.E., Inc.)

Note: Children under 18 must have their parent or legal guardian sign the insurance waiver.

Please bring your application in person to the Center, or mail to:

Center for Avian Rehabilitation and Education
3053 Beechwood Ind. Ct., Suite 1
Hubertus, WI 53033