Fields marked with an * are required

 

SERVICE REQUIREMENTS

Help Text

PERSONAL DETAILS

 

I, the undersigned, hereby fully and forever waive, release, hold harmless, indemnify and defend Humane Pennsylvania and its respective employees, volunteers, agents, officers, board members, trustees, successors and assigns, together with their insurance carriers (collectively “Humane Pennsylvania”), from and against any and all actions, claims, demands, causes of actions, lawsuits, controversies, expenses or damages of every nature whatsoever, which I may have now or in the future against Humane Pennsylvania, for any and all personal injuries of any kind and nature, mental or emotional injury, including but not limited to any claim of intentional or negligent infliction of emotional distress, as well as any and all other types of losses, including property damage, all economic and non-economic claims, injuries to other pets and other damages, known and unknown, arising out of or attributable to my participation in the handling of animals at Humane Pennsylvania.