ANIMAL FRIENDS OF BARBOUR COUNTY, INC.

(a 501 (c) (3) non-profit corporation)

AND THE COUNTY COMMISSION OF BARBOUR COUNTY, WEST VIRGINIA

RELEASE OF LIABILITY

I, __________________________________________, a volunteer of Animal Friends of Barbour County, Inc., a non-profit corporation, do hereby knowingly, willingly, voluntarily and without any promises, coercion or undue influence, state and declare that I assume any and all risks of injuries or illnesses to me or any member of my family acting with me or any damages to my or their property as a result of my volunteer activities for Animal Friends of Barbour County, Inc. and the County Commission of Barbour County, West Virginia, at the Barbour County Animal Shelter ,the  AFOBC Shelter, the Petsmart Charities store located in Uniontown, PA,  or any other location where animals under its control are kept or fostered, and while transporting any animals should I volunteer and do so in any vehicle owned and operated  by Animal Friends of Barbour County, Inc., or private vehicle, or at any AFOBC function.

I do hereby further state and declare that this release of liability shall be executed in duplicate, and one shall be retained by Animal Friends of Barbour County, Inc., and one presented to the County Commission of Barbour County, West Virginia, and that both Animal Friends of Barbour County, Inc. and the County Commission of Barbour County, West Virginia, may rely on this release of liability in allowing me to serve as a volunteer for Animal Friends of Barbour County, Inc. in any sort of activity whatsoever on behalf of both or either organization.


Dated this_____day of______,20___
_____________________________________
Taken, sworn and subscribed to before me, the under signed authority, on this____day of _______________,20___




My commission expires_________


(NOTARIAL SEAL)





                                                                                _____________________________________                                                       
                                                                                Notary Public