"*" indicates required fields Please select the CHS location where you will be volunteering:* Newington Waterford Westport I agree to volunteer my services to the Connecticut Humane Society. I understand that I will not receive any compensation for my services.* I agree I understand that there are risks involved with working with animals. I understand that I am volunteering at my own risk. I will not hold CHS responsible for injury or illness to myself, injury or illness to my own animals or loss of or damage to my personal property. I understand that CHS is not liable for damage done by foster pets.* I agree I have read the Foster Care Manual and agree to follow the guidelines set forth.* I agree I understand that all foster animals remain the property of CHS and are to be returned to CHS as directed by the Foster Care Coordinator. I understand that CHS reserves the right to examine the animal at any time, upon reasonable notice, and may require that the animal be returned at any time.* I agree I understand that I am not to make arrangements with family or friends to adopt my foster animals.* I agree I understand that fostering does not guarantee that I will be able to adopt my foster pet. The Volunteer Adoption Policy is outlined in the Foster Care Manual.* I agree I understand that all foster animals MUST be kept separated from other pets in the household unless prior authorization is given from my Foster Care Coordinator to let animals interact.* I agree I agree to keep all owned dogs and cats in the household current on their rabies vaccines. I understand that proof of their vaccination status may be required in certain circumstances such as a bite incident between an owned pet and a foster pet.* I agree I understand that all supplies (food, litter, medication, etc.) will be provided by CHS. I understand that I will not be reimbursed for expenses unless my Foster Care Coordinator gives prior authorization.* I agree I agree to follow all instructions given to me regarding the care of my foster pet and I agree to perform a daily wellness check-up on each foster animal and will follow CHS guidelines about bringing animals in for routine exams.* I agree I understand that I must contact CHS immediately if my foster animals becomes ill. I agree to adhere to the after-hours emergency agreement outlined in the Foster Manual. I understand that I should not take my foster pet to my own veterinarian and that CHS is not responsible for any veterinary bills I incur.* I agree I understand that I am to contact my Foster Care Coordinator immediately if my foster animal exhibits any behavioral issues such as aggression, litter box avoidance, separation anxiety, etc.* I agree I agree to contact CHS immediately if anybody is bitten by my foster animal and understand that the pet will need to be returned to CHS in accordance with state quarantine laws.* I agree I agree to provide the animal(s) placed in my custody with proper food, water, shelter, care and with adequate human contact to socialize him/her.* I agree I understand that the Connecticut Humane Society reserves the right to dismiss a volunteer from service if the relationship is not mutually beneficial.* I agree I authorize the Connecticut Humane Society to use any photographs or other audiovisual images taken of me for promotional use, educational activities, or for any other use for the benefit of the organization.* I agree I agree to: Accept and adhere to all policies of the Connecticut Humane Society. Accept the guidance and decisions of the Volunteer Manager and Foster Coordinator. Maintain the dignity and integrity of CHS and to maintain confidential information. Respect the staff and maintain a smooth working relationship with them and stay within the bounds of volunteer responsibility.* I agree I certify that: I am at least 18 years old and I have active health insurance. I will notify the Connecticut Humane Society if I no longer have health insurance.* I agree By typing your first and last name below, you are electronically signing this document.*Date* MM slash DD slash YYYY Please list the name and phone number of your emergency contact.