EWRS Brochure - The Wildlife Sanctuary

Table of Contents
Page 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Director’s Welcome
Page 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Introduction of Offerings
Page 4, 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Description of Classes
Page 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Summer Camp Information
Page 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .General Price Information
Page 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . What’s New at the Sanctuary
Page 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Whitewater Tubing and Sponsors
Insert Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Registration Form
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Volunteer Application
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Release Form
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Adopt An Animal Application
Page 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Save Endangered Species
Page 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sample Half and Full day Programs
Page 11 . . . . . . . . . . . . . . . . . . . . . . . . . Sample of Overnight Camping Program
Page 12,13 . . . . . . . . . . . . . . . . . . . . . . . . Team Building Ropes/Obstacle Courses
Pages 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sponsors
Page 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MAP of EWRS Facility
Page 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Maps/Directions
Our History
The Ellijay Wildlife Rehabilitation Sanctuary is a federal and state licensed 50-acre
facility that has been rehabilitating injured and orphaned animals for over 20 years. We
became a nonprofit organization in 1994.
Summer camp, “Camp Wildlife,” is a natural extension of what began within our own
family and eventually extended into the families of our beautiful State of Georgia. Sharing
and teaching is a major part of our mission to serve America’s wildlife and our community
in medically treating our injured and orphaned wildlife for their eventual release back into the
wild. These camps will give you an unequaled opportunity to get a true hands-on experience
with the vet techs and veterinarians in the rehabilitation of our wildlife and maybe even the
chance to be a part of the release of an animal that has been successfully rehabilitated and
can be returned to its natural habitat. As the Sanctuary continues to grow, we hope that you
and your family will grow with ours.
Our Mission
The purpose of the E.W.R.S. is to medically care for injured and orphaned wildlife for
release back into the wild. For those animals that cannot be released, we provide
a comfortable haven in which they can live out their lives in safety. These animals
may then play a part in our educational programs, teaching young and old alike the
importance of not only caring for our wildlife but the habitats in which we live.
Educational programs will be on and off the premises of the E.W.R.S., taken to schools,
camps, and appropriate gatherings.
It is the purpose of the E.W.R.S. to involve itself in whatever way possible to help
preserve any endangered animal species, such as the Eastern Cougar. It is not the
purpose of the E.W.R.S. to function as a Zoo.
Let us remember that if our wildlife ceases to exist, so do you, and so do I. “It’s
called the Circle of Life.”
“Grizzly” Craig Cylke
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(706) 276-2980
E-Mail Address: [email protected]
Web Site: www.2wild2tame.com
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Description of Classes Offered in Ellijay
Wildlife Program Outdoor Education Program
Wildlife Identification & Rehabilitation:
Explore our animal rehabilitation sanctuary, Georgia’s largest
mountain lion breeding facility and “Home of America’s Most Endangered Mammal.” Students will see first hand what it takes to
rehabilitate orphaned and injured animals and how these animals
are prepared for release. Students observe and study and myriad of wildlife, both common and uncommon: squirrel, deer, raccoon, red wolf, the great American Bald Eagle,
black bear, the Eastern & Western Cougar and many others. Students will also learn
how to save wildlife habitats.
Aquatic Plant-Animal Studies:
Delve into the wonders and mysteries of the aquatic world of
the swamps, streams and lakes here at E.W.R.S. Learn about the
plants and animals of the water, their life cycles, survival techniques and how the differ from terrestrial species. Students will
also examine the importance of water to us, animals and the entire cycle of life.
Native American Lifestyle and Authentic Village:
Through a visit to an authentic Indian Village based on their “old
way” and by oral presentations, students will grasp an understanding and appreciation of our Native Americans’ heritage. Students
will learn about native medicine, crafts, and specialized skills
which were necessary for survival as will as enabling them to thrive. These classes are
inspired by and can be taught by our Native American Brothers and Sisters.
Forest Life:
This class offers an in-depth study of trees by following a forest from
secondary succession to its climax. Students will learn how trees are
an important key in earth’s air, water and nutritional recycling plan.
Using Project Learning Tree Activities, students will also learn the
importance of trees in our local, state and national economies.
Edible Plant Recognition:
This class will examine indigenous plants and discover nutritional
values, medicinal uses, plant morphology and natural history of local species. An emphasis is placed on recognition and identification
of roots, flowers, berries and leaves by sight, smell and location.
Special importance will also be placed on conservation and ecology.
Gold Panning/Geology
Panning for gold can be as profitable a hobby as it is fun and relaxing. Students will learn how to pan for gold in our gold sluice, then
could try their luck in nearby Mountaintown Creek.
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PIONEER LIVING:
Come live a day as an early American pioneer. See how much work was involved in just surviving from day
to day. Students will learn how to cook their own meals over an open fire, dip candles,
make soap, weave baskets and learn more intricate aspects of Pioneer life.
ORIENTEERING:
There is a certain amount of romance surrounding the pioneer scout and the explorer
of the days of old. This class opens the door to the past by teaching students basic skills
involving map and compass readings. Students will also learn to draw topographical maps for others to
follow.
ORNITHOLOGY/BIRD WATCHING:
This class is so much more than just bird watching. Students will learn proper identification, morphology, behavior, natural history of our birds, and identification of birds
by sound and flight patterns.
STARGAZING/ASTRONOMY:
Students will explore the night sky and learn about meteorites, meteors, satellites and a
host of common and not-so-common constellations. Students will also become familiar
with the use of star charts, astronomy field guides and draw their own celestial maps.
ATTENTION TEACHERS!!!
According to new Georgia regulations, most counties have limitations on the number of field trips allowed
during the year. We offer outdoor classes structured around the “3 Rs” through nature, which meet Quality
Core Curriculum Requirements. Save your “field trips” and come enjoy Mother Nature at her finest while
exposing students to valuable lessons.
Conventional Subject:
Art:
English:
Health/PE.
History:
Math:
Candle Making
Creation of Star Charts
Flower Presses
We offer creative essay writing
activities that may be combined
with these classes for English
requirements.
Study an old homestead, moonshine
still site, old gold mining site, and
old grist mill site.
Logistics and Calculations
Science:
Botany
Zoology
Astronomy
Ornithology
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Outdoor Classes Which Meet
Q.C.C. Requirements
Pioneer Living
Stargazing/Astronomy
Edible Plant Identification
Ornithology/Bird Watching
Wildlife Rehabilitation
Stargazing/Astronomy
Native American Lore
Forest Life
Aquatic Study
Team Building Ropes/Obstacle Course
Native American Lore
Pioneer Living
Orienteering
Team Building Ropes/Obstacle Course
Edible Plant Recognition
Wildlife Rehabilitation
Stargazing/Astronomy
Ornithology/Bird Watching
Gold Panning/Geology
TOUR AND PROGRAM RATES:
AT YOUR LOCATION: Prices start at $350 minimum for 1st 75 people, plus $3.50/person up
to 200 people, for up to a 1 hr program. Multiple programs and group rates available for
groups over 300. Call for more information. All off sight sanctuary programs will be
Program Price Rates / Camp Wildlife Information
charged .49 cents a mile round trip
AT OUR LOCATION: General tours at the sanctuary start at a minimum donation of $50 through
7 people. 8 people or more $7.50 each.
MINIMUM PROGRAM FEES: 1/2 school day $200 up to 20 people. Full day $250 up to 20 people.
Additional person $10 for 1/2 day programs, and $15 and up per person, depending
on program content, for a full day program.
; overCAMP Opportunities:
Day
campsavailable.
and week long overnight camps available. Call for current CAMP
night
camps
WILDLIFE brochure, or contact our office for your customized camping experience.
CAMP WILDLIFE DESCRIPTIONS: M-F a 5-day 4-night wildlife and nature experience never to be
forgotten. Special guests often include Channel 9’s Nature Science Shows, Dollywood’s “Birds
Of Prey” show, and the “Rain Forest Critters” just to name a few. Day time activities start with
learning how to care for God’s little critters, feeding and even releasing them back into the wild.
Young people will get to work along side with veterinarians and vet-techs on some of Americas
most endangered mammals. Also you will get to experience many of natures babies, such as fawns,
opossums, and squirrels to name a few, and occasionally even a baby bear, or cougar cub.
Other activities available are learning about, and working with, America’s forefathers—the
Native American Indian. Learning their old ways and experience their culture through such things
as fire building, drum making, arrowhead making, camp cookery, native games and dances, wild
edible plants, wildlife conservation and habitat care. All this and more while living in an authentic,
native American village with real teepees.
Newly added programs are horseback riding, whitewater tubing, high thrill obstacle course,
just to name a few. For our tweens and teens, each week we will have a theme banquet and costume contest for the best dressed camper. Then you must experience “Grizzly’s” awesome creek
hike and swim. Learn the art of stream fishing and last but not least, end each day with a super
FUNTASTIC campfire program. Call for current camp's and availabilities.
SUMMER CAMPS and AGES: Cub Camp ages 8-9. Junior Camp ages 10-12. Tween Camp ages
11-13. Teen Camp ages 13-17.
CAMP WILDLIFE FEES: Weekly Overnight Camps: Members: $500, Non-Members: $550.
MEMBERSHIP INFORMATION: Immediate Family (Up to 4 people) $50/yr. Individual $35/yr. Benefits: Newsletter; Free 2nd Sunday family day, June-September; Camp Discounts; 10% discount
in “The Nature Store.”
CAMPING FEES: (Porta-Potties and running water included) Single Tent Units: 6 people maximum
$15 unit/night. Group Camping Area: From 1-25 people, $100 minimum. Maximum: 125 people
at $2 per person. Teepee Rentals: Sleeps up to 14: $50/night. Bunk House Rentals: Sleeps 8,
$50/night. Wild Hut Senior: Sleeps up to 30, $200/night. Wild Hut Junior: Sleeps up to 15,
$150/night.
PICNIC PAVILION: Has food preparation area, refrigeration, seating up to 96 people and hot showers: $100 day.
Note—Meals are available with advance reservations at $7 per meal / person.
Note—All overnight campouts have a minimum Package Deal of $150, which includes a
wildlife tour for individual or group. Must call for individual and package deals. Prices based on
a per person fee.
MISCELLANEOUS FEES: Team Building Ropes/Obstacle course: Fees are to include minimum half
day program. Half Day (2 Hours Instruction): $10/person. Full Day (4 Hours instruction): $20/person.
GOLD PANNING: $5/bag per person or add $3.50/person to program fee.
NATIVE AMERICAN PROGRAM: Using authentic Native American Indians requires a minimum
of 75 students at $7.50/person or under 75 students add $350 to program fee.
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Whats New at the Sanctuary….
The Sanctuary will be open Six Days A week S-F By Appointment
Don’t forget our fabulous Family Days on 2nd Sundays
Admission is $7.50 per person.
Visitors will need to call two days in advance to reserve a private tour through 7 people for $50,
and regular admission applies on 8 or more people.
On the second Sunday of each month, from June through September, we will offer our visitors
a little extra. In addition to guided tours, each hour from noon until 3:00 pm, guests are treated to
a complimentary wildlife presentation in our outdoor amphitheater conducted by the Sanctuary’s
Director, “Grizzly” Craig Cylke or assistant.
For those who want a TRULY WILD experience….
Come to a FRIDAY FEEDING FRENZY! Each Friday at 5:00 p.m. guests will be treated to a behind the scenes tour unlike any other around! Get an insiders look at what it takes to care for the
wildest of our wild animals. The highlight is watching the feeding of our bobcats, cougars and
bears—OH MY!! Admission is $30.00 per person, but half price to overnight campers and kids
By reservation only.
15 years and younger. Minimum tour fee applies.
Five New Bunk Houses Completed!!
We are thrilled to announce the completion of five cozy cabins for campers who like Nature but
prefer not to sleep too close to it. These cabins are approx. 100 feet from our pavilion which
houses a camp kitchen and hot showers. They also feature fantastic views of the North Georgia
mountains and can sleep up to 8 campers. $50.00 night ea. Pavilion available—see rates.
Ten New Tent Sites & Six Teepees 18 ft to 24 ft across!!
Seven new sites, courtesy of Eagle Scout, Blake Tigner, Troup #429, can fit up to six-person
tents and bring our current total number of tent sites to ten at $15.00 per night. Overnight campers
can also experience how our Native American friends lived by staying in one of our six authentic
teepees at $50.00 ea. per night! Perfect for scouting and school groups. These roomy teepees
can sleep 12 to 14 people comfortably and are just a few feet from hot showers and the kitchen.
The view from our teepees cannot be beat! Note—all overnight camp-outs include a $50.00 tour as
part of your $100 overnight PACKAGE DEAL.
Church without walls….
The Sanctuary has a beautiful 300 seat outdoor amphitheatre that is a perfect venue for religious services Birthday parties or weddings. Call for rental information.
Our New Welcome Center/Nature Store ….
At the base of the entrance into the Sanctuary is our new Welcome Center and parking area
where you can wait in comfort for your tour and enjoy our nature store/gift center for crafts from local area craftsmen, t-shirts, refreshments, souvenirs and camp items are available for purchase.
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White water Tubing “It’s FUNTASTIC”
Grab a tube and enjoy two and a
half hours floating down the Mountaintown Creek with your new camp
friends! Drift and paddle down the
cool clear creek while relaxing and
watching the wildlife that abounds
on the Mountaintown Creek, such
as deer, turtles, river otter, birds of
the river and raccoons. Tubing the
waters of the North Georgia mountains offers a chance to float placidly past some of
the captivating landscapes in the Georgia mountains. Nothing beats the summer heat
than a tubing adventure while exploring this once bustling Cherokee village along the
banks of this unspoiled creek. The focus of our tubing trips is for you to have a fun
and adventurous day. Our trips are wild and spirited but are fun, family oriented with a
strong focus on your safety at all times. It’s a great day for kids and adults! All equipment including instruction is an additional charge of $25.00 per person.
[email protected]
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You Don’t Have To Go To Africa To Save An Endangered Species”
Meet Annie… Annie is one of our many resident southeastern black bears. When she was only six weeks old, poachers in Tennessee killed her mother. They then pulled out all
of Annie’s claws with a pair of pliers. They did not even use
sedation. Fortunately, the poachers videotaped their actions
and when they were caught, that tape served as evidence
against them in federal court. They received a mandatory 2-5
year prison term and a $10,000 fine for their horrible deed.
Today, she is doing much better, but we would like to see her
able to run and play in a proposed 3-acre natural habitat we
have planned for her and our many other bears. We sincerely
thank Mr. Howard Buffet for his generous contribution which enabled us to purchase
the tract of land needed for this project. However, a total of $67,000 is still needed to
complete construction of the habitat.
and Introducing…“Heidi”
(born July 21, 2001)
Heidi and her brother, Marlin, are two of the
sanctuary’s newest residents. Their mother, Sedonia, is the wildest of our cougars. Also known
as pumas, mountain lions, and panthers, most
people do not realize that their ancestors used to
roam all over North and South America. By the
early 1900’s though, nearly all pumas east of the
Mississippi River vanished due to uncontrolled
hunting. Today, the only documented population
of eastern panthers exists in the southern tip of
Florida, where they are known as the highly
endangered Florida Panther. Less than 100 true
eastern panthers are documented to exist at this time.
Heidi and Marlin are part of the sanctuary’s program to help protect, and one day
restore, the nearly extinct eastern puma throughout remote wild areas in the east. The
only hope in saving them will come from introducing new genetic material from their
more common cousin, the western cougar. Here at the sanctuary, we are following this
example set by Florida D.N.R. in 1995 with their Panther Restoration Project. The
sanctuary plans to house the premier eastern puma breeding and research facility in
the world. Before that dream can come true, we must raise funds for a 5-acre prerelease
habitat in which cubs can be raised without direct human contact. Once sanctioned by
Georgia or another eastern state, those cubs could then be released in remote eastern
wilderness areas to restore ecological balance by helping to control the serious overpopulation of whitetail deer.
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Here are some Sample Programs to give you an idea of the
potential for your educational enhancement.
Sample Half Day Program
Scenario: The students are studying the earth’s compositions unit
about the variety of rock formation in Georgia.
9:15
9:30-10:30
10:45- 11:45
12:00
Arrive at Ellijay Wildlife Rehabilitation Sanctuary
1st Class: Amphitheater/Small Animal Program
2nd Class : Animal Sanctuary Tour
Lunch (sack • student supplies)
Then Departure
Enrichment: The students can actually see and touch, as well as hear
about a variety of rocks, formations and deposits in this area.
Sample Full Day Program
Scenario: The students are studying a unit about the pioneer days
of our country.
9:15 Arrive at Ellijay Wildlife Rehabilitation Sanctuary
9:30-10:30 1st Class: Amphitheater/Small Animal Program
10:30-11:30 2nd Class: Large Animal Tour
11:30-12:00 Lunch (sack • student supplies)
12:00-1:00 3rd Class: Native American Lifestyle & Authentic Village
1:15-2:00 4th Class**: Pioneer Living/Candle Making, etc.
2:15 Departure Time
**Times may very according to need.
Enrichment: The students actually will be able to see a sampling of how the people lived
during the pioneer era.
** We also offer an Awards Presentation in the Nature Amphitheater, if you desire,
depending on chosen classes and projected outcome.
These are only suggested classes; you may choose any of the classes in our brochure
to custom fit the needs of your group. The class Stargazing/
Astronomy is not available for day groups because it does
require a night time star watch.
* There is a $3.50 charge for the Gold Panning/Geology
Class. Candle Making requires a $2.00 craft fee per
person. Animal tracks $2.00.
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and have a
/Mat
Page 11
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Sponsors of Ellijay Wildlife Sanctuary
PUTTING AMERICA’S WILDLIFE BACK IN ITS TRACKS
435 COUGAR LANE • ELLIJAY, GEORGIA 30540 • (706) 276-2980
FAX: (706) 276-2979 • E-MAIL: [email protected]
VISIT US ON THE INTERNET:
www.wildliferehabsanctuary.org
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Welcome Center
Cougar
Top
Rd
Picnic Pavillion
Bunk Houses
16
Ellijay Wildlife Rehabilitation Sanctuary is nestled within Fifty acres of
breathtaking views and gorgeous natural scenery. The kindness of the
entire staff makes you feel at ease among the wildlife and the extensive
knowledge of the staff gives you security that these animals are receiving the best care possible. A visit to EWRS will leave you exhilarated
and with a desire to learn more about our part in the Circle of Life.
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Gas/Convienance Store
Chevron
Gas Station
Gold Kist.
Mc Donalds
Old
Super
Wal-Mart
DIRECTIONS TO CAMP AND SANCTUARY
FROM I-75 South from Chattanooga to Dalton, Georgia, take
Walnut Ave. (Hwy 76) and travel east to Hwy. 411 in Chatsworth. Turn
right, go south through Chatsworth, past town approx 3 miles to next traffic
light, turn left at gas/conveienance store, go 100 yd., turn right by gas station
on 282/76, go approx. 2 miles to Hwy 282/76, turn left on 282. Go
9.5 miles to country grocery on rt, then 1.5 miles to next paved left, Pleasant
Gap Rd, see our sign, 1 mile to Cougar Lane rt. go 1/2 mile. From 1-75
North To 515, To 2nd Ellijay traffic light left by Mc Donalds, straight
at 4-way stop to dead end, left at chicken plant, 100 yd. to light, cross
old Hwy 5, go 4 miles to Mt Town Creek, past bridge 8/10 mile to next
road, Pleasant Gap, turn rt., one mile to Cougar Lane, rt. 1/2 mile to
van / bus parking on left by welcome center.
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Ellijay Wildlife Rehabilitation Sanctuary
435 Cougar Lane, Ellijay, Georgia 30540
(706) 276-2980
(706) 276-2979- FAX
VOLUNTEER APPLICATION
Please fill out the following form and mail / fax it to the address above.
Date
Name
Phone
____________________________________________________________________
Address
City
State
Zip
Emergency Contact
Phone
Age: _______ (Children under age 16 must be accompanied by an adult).
All volunteers must become members of EWRS.Note-Yearly Membership-Individuals $35 Family up to 4-$50.00
SKILLS & INTERESTS
Hobbies, Interests & Skills _____________________________________________
Current Occupation: __________________________________________________
Experience working with animals: _______________________________________
Previous Volunteer Experience: _________________________________________
Have you ever supervised volunteers? ______No ____Yes. If yes, please describe:
____________________________________________________________________
VOLUNTEER OPPORTUNITIES AVAILABLE
____ Media / P.R. Newsletter
____ Kennel and animal care
____ Programs
____ Special Events/off site programs
____ Tours / Nature store
____ Fundraising
____ Office / Mass Mailing
AVAILABILITY PREFERENCE
____Ongoing Regular Volunteer
____ Serve as Resource Person in the Area(s) of _____________________________
____Weekdays: ____Mon ____Tues ____Wed
____Weekends: ____Sat ____Sun ____Evenings
____Thurs
____Flexible
____Fri
____Other
HOW DID YOU HEAR ABOUT US?
____Friend/Volunteer ____Newspaper
____Internet Search
____Radio/T.V.
____Brochure/Flyer ____Walk-in
____Other
It takes a special person to love and care for needy animals. Because you care for
animals, we ask you to make a commitment to your volunteering and the animals. It is
required to become members EWRS. Thank you for your interest in our Sanctuary! We
will be in touch with you soon to discuss volunteer opportunities.
For Ropes/Obstacle and General Activities Release Form
I realize that the Ropes/Obstacle Courses have inherent risks. I knowingly accept and
assume this risk and agree to release Ellijay Wildlife Rehabilitation & Sanctuary, staff
and its parent organizations from any and all claims, damages, injuries and expenses
arising out of or resulting from my participation in any Ellijay Wildlife Rehabilitation
Sanctuary activity or program. I further agree to release, acquit and covenant not to sue
said organizations for any and all actions, cause of action, claims or damages, damages in law or remedies in equity of whatever kind, including the negligence of said
organization. I understand said organizations include their agents and employees. All
Primary Insurance is the responsibility of my self, school or group. I understand that
the wild animals and the Sanctuary belong to Mother Nature and I am obliged to be
responsible in their presence.
Student/Volunteer/Individual Consent Release and Assumption of Risk for Ropes/Obstacle/General Activities Agreement Form
Complete this form and bring it with your Student/Volunteer Application to the
E.W.R.S.
I hereby agree to a position as a student/volunteer for the Ellijay Wildlife Sanctuary,
(hereafter referred to as the E.W.R.S.) and I agree to comply with all of the rules and
regulations which may be established from time to time by the E.W.R.S. I understand
that failure to do so may result in my termination as a student/volunteer.
I acknowledge that my services are provided strictly on a student/volunteer basis
without pay or compensation of any kind and without liability of any nature on behalf
of the E.W.R.S. All services/programs are performed at my own risk.
I recognize that handling animals and perfoming other student/volunteer tasks, there
is a risk of injury, including physical harm caused by the animals/terrain/programs. On
behalf of myself, my heirs, personal representatives, and executers, I release discharge,
indemnify and hold harmless the E.W.R.S., its agents, servants, and employees of any
and all claims, causes of action, or damages of any nature or cause. This is to include
cost and attorney’s fees incurred by the E.W.R.S. or sustained by me in any way connection with the same, based on damages or injuries which may be incurred or sustained
by in any way connected with my program/services with the E.W.R.S. including but
not limited to, animal bites, accidents, or injuries,
I understand that if I am injured while acting as a student/paid/unpaid individual of
E.W.R.S. staff, I AM NOT covered by the GEORGIA STATE WORKER’S COMPENSATION LAW or E.W.R.S.
Each student/volunteer under the age of 15 years MUST BE accompanied by a parent or guardian at ALL times. All prospective student/volunteerss/individuals MUST
sign this release to be accepted.
IF UNDER 18 YEARS OF AGE, PARENTAL SIGNATURE REQUIRED BELOW
Date: ____________ Student/Volunteer signature: ________________________Age _______
Phone Number: _________________ Student/Volunteer Printed ________________________
Cell: ______________________________
Work: ______________________________
If under age 18 parental signature _________________________________________________