Beak n Wings, Inc.

An Educational Pet Bird Club & Rescue

501(c)3 Non-Profit organization

EIN: 77-0630832

 9010 Rosehill Rd., STE. B    │    Lenexa, KS 66215     │    T-913-322-3398        admin@beaknwings.org       www.beaknwings.org

Volunteer Application

Please complete this application, and submit. Every section with a * is required

We are sorry, at this time, we are unable to allow children under age 13 years old. You will need to have a authorized BNW Supervisor attend all training with you as well as supervised every time you volunteer. Parent or guardian will need to be onsite during the volunteering.

Volunteer Opportunities

All volunteer activities require some form of pre-training and/or assessment before a volunteer will be able to act in the volunteer capacity.

Volunteers and committee members work together and communicate with each other to achieve the goals of Beak n Wings.

Weekday mornings volunteers will need to feed fresh foods, removing after two (2 )hours, plus other duties

Diversion Section:

Please remember that we do not share any information on this form with any outside source and only a select few members are granted access to the completed forms. Please provide the name, phone number, email of your parole officer.

I, hereby authorize Beak n Wings, Inc. to obtain

Information on all, but not limited to, the following items, and to contact any references, agencies, obtain criminal background check and any other information necessary in performing a background check.

I authorize all parties to release information or verification requested by Beak n Wings, Inc., that will assist in the evaluation of my Volunteer Application status. I also agree to hold harmless, all parties supplying information requested to complete my application.

I have been advised and understand prior to signing this authorization that information obtained will be confidential and will to be shared outside of authorized personnel of Beak n Wings, Inc.

I also certify that all information provided per this application is correct and that errors or misrepresentations of any information my be grounds for denial of this application or termination of volunteer services.

I hereby release Beak n Wings, Inc. and any of its appointed agents and all respective employees and employers from any liability related to any damages, injury claims, and expenses of any nature arising from my participation as a volunteer for Beak n Wings, Inc. I hereby give Beak n Wings, Inc. permission to contact my personal references.

KEY AGREEMENT

Leave blank if you do not receive a key (s)

Note: Before a key can be issued, a BNW Key Agreement Form must be signed and on file.

Please do not sign KEY AGREEMENT unless you are given a key.

Key issued to (name) : _____________________________________________

[Date: _____________________

By signing this agreement form, I and the organization I represent agree to abide by the by laws and policies of Beak n Wings, Inc., and I understand that the by laws and policies of this facility are for the safety and the safe enjoyment of the users.

I understand that this key is for the sole purpose of performing my duties as a volunteer with Beak n Wings, Inc. Entering the premises for any other reason than the performance of my duties can result in immediate    release as a volunteer and possible prosecution.

I agree that I am not allowed to duplicate, pass, lend nor give key (s) to anyone else nor allow entry to anyone not authorized to the store. I further acknowledge that this key is the property of Beak n Wings, Inc

Loss of key (s) should be immediately reported to the organizations Executive Director of Beak n Wings, Inc. and I acknowledge that a fee may be levied against me for replacement key (s) and/or expenses resulting from locks having to be changed as a result of loss of key (s).

I understand that abuse of this agreement will result in loss of my ability to carry a key to the facility of BNW.

It is my responsibility upon separation as a volunteer (board member, member, volunteer),  or request from the Executive Director or Board member that I will immediately return key (s) to Beak n Wings, Inc.

 BEAK N WINGS, INC. PHOTO RELEASE FORM

I hereby grant Beak n Wings, Inc. permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.

I understand and agree that all photos will become the property of Beak n Wings, Inc. and will not be returned.

I hereby irrevocably authorize Beak n Wings, Inc. to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.

I hereby hold harmless, release, and forever discharge Beak n Wings, Inc. from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

I have read and understand the above photo release. I affirm that I am at least 18 years of age, or if I am under 18 years of age, I have obtained the required consent of my parent/guardian as evidenced by their signatures below.