Volunteer Insurance Waiver and Confidentiality Agreement

I fully understand that my services provided are strictly in a volunteer capacity, and I agree to provide my services to the Humane Society of Sheboygan County (henceforth referred to as HSSC) strictly as a volunteer, I acknowledge that I am not acting as an employee of HSSC. I understand that I will receive no compensation, salary or employee benefits or payment of any kind for the services rendered. I fully understand and agree to assume all risks involved in any and all duties that I perform for HSSC in my volunteer capacity. I will not hold HSSC liable for any personal or property damage I may incur while performing volunteer services. I agree to conform to HSSC policies and procedures while volunteering, and I will familiarize myself with these policies and procedures. HSSC handles large numbers of animals on a daily basis, I understand the temperament of these animals is often unknown by HSSC staff. I will not hold HSSC liable for any injury(s) I may sustain from handling animals during the course of my volunteering.

          I understand that the discussion of HSSC clients, employees, volunteers, and/or animal’s former owners is a violation of privacy and a breach of confidentiality. I agree to abide by privacy/confidentiality policy during my tenure at HSSC and after I am no longer affiliated with the agency. I understand that any violation may result in my immediate dismal and/or legal action. I release Humane Society of Sheboygan County, directors, staff and volunteers and supports from any liability or claims of injury or illness arising from participation in a volunteer capacity. This agreement Is required for the protection of Humane Society of Sheboygan County and in recognition that employees/volunteers/board members of HSSC may either acquire or observe documents, or overhear conversation, or information that is private and confidential in nature.

         Accordingly, the undersigned agrees that if he or she comes into possession of either written or oral information of any kind about HSSC or its affiliates, the undersigned agrees to keep all such information confidential and not disclose or publish this information to any person unless expressly permitted in writing by HSSC Executive Director or President of the Board of Directors.

          The stated agreement is a reminder to the undersigned that inappropriate disclosure of such confidential information by the undersigned could expose the undersigned to liability or claims if the disclosure of such information cause either monetary damage or other irreparable harm to HSSC or its clients. I acknowledge that I have thoroughly read and understand the terms and conditions of the above release. I waive legal rights to bring a lawsuit against the Humane Society of Sheboygan County.

I agree to conform to The Humane Society policies and procedures while volunteering, and I will familiarize myself with these policies and procedures in the Volunteer Handbook.

I understand that my picture may be taken, used, and/or displayed in social media or other forms of media.

          This agreement is required for the protection of the Humane Society of Sheboygan County, its staff, board of directors, customers and volunteers.

I am new to MyImpactPage.com

You will need to enter a unique username to identify yourself to the system. You should select something that is easy for you to remember such as your email address or your name. Your username must be at least 6 characters long. If the name you enter is already in use by someone else, you will be prompted to choose another username.
Required
Required
Required

I already have a username

If you have signed up with this organization before, or are a member of another organization that uses MyImpactPage.com, you can use the same login to access all organizations with which you are associated.
Required
Required
Forgot your username or password?
Already use MyImpactPage.com to volunteer with this organization?
Go to volunteer login

It appears that you do not have cookies enabled, cookies are required to use this site. Please see this document for details on how to fix this error.
Some scripts that are essential to this site have not loaded correctly. Please contact your organization administrator for assistance with this error.