"*" indicates required fields Please select the CHS location where you will be volunteering:* Newington Waterford Westport Company or Group Name*I have agreed to volunteer my services to the Connecticut Humane Society. I understand that I will not receive any compensation for my services. I understand that I am volunteering at my own risk. I will not hold the Connecticut Humane Society responsible for and hereby release the Society from liability for personal injury or illness to myself, injury or illness to my own animals, or loss of or damage to my personal property arising from these volunteer activities. I give permission to the Connecticut Humane Society to use any photograph or video taken of me on social media or for other promotional purposes.* I agree Today's Date* MM slash DD slash YYYY By typing your first and last name below, you are electronically signing this document.*Parent or Guardian Signature (Required if under 18) By typing your first and last name below you are electronically signing this document.Street Address*City*State*Zip Code*Email* Phone*Name and phone number of your emergency contact.
