Disaster Relief Assistance Application

Requirements for Eligibility for Emergency Feed Assistance:

Applicant must have been affected by a New Mexico wildfire, or the aftereffects of a New Mexico wildfire.

Animals for whom applicant is seeking assistance are:

1. Personal animals; OR
2. Animals at an animal rescue or shelter organization; OR
3. Wildlife at a wildlife rehabilitation facility; OR
4. Animals assisted by local governments or law enforcement agencies; AND:

These animals are not being used for profit such as breeding, food production, or other commercial purposes.

I verify that I meet the requirements and confirm that all of the information completed and submitted with this application is correct.

NOTICE OF DISCRETION

We are aware of the possibility of sensitive information provided by the applicant for Disaster Relief Assistance (Assistance) as a necessary component of completion of the application. We will not share an applicant’s full name along with specific details about the case publicly without asking the applicant for permission. However, information provided by the applicant, such as the number of animals owned, and the area where the animals reside, may be used by Animal Protection New Mexico for reports to help bring awareness and more support to animals in New Mexico. Any photos submitted by the applicant with the application, or shared with staff through email or text, may be used to help raise funds to support Assistance for additional animals and families.

WAIVER OF LIABILITY AND RELEASE

Animal Protection New Mexico (APNM) is offering Disaster Relief Assistance (Assistance). If your application is approved, it is your responsibility to inspect the quality of food and/or supplies.

We ask that you read and sign this Waiver of Liability and Release. By signing it, you will be indicating that you understand the risks involved in your participation in Assistance.

VOLUNTARY PARTICIPATION

1. I acknowledge that I have voluntarily applied to participate in Assistance.

ASSUMPTION OF RISK

2. I am aware that my participating in Assistance may involve strenuous physical activities such receiving and/or transporting food or supplies, as well as risks associated for my animal(s) in changing food. I am voluntarily participating in these activities with full knowledge of the risks involved, and hereby agree to accept any and all risks of harm that may result from my participation in Assistance.

RELEASE

3. As consideration for my being permitted by participate in the Assistance, I hereby agree that I, my assignees, heirs, distributees, guardians, and legal representatives will not make a claim of any kind against or sue APNM, their affiliates, employees, agents or volunteers for injury or damage of any kind resulting from my participation in Assistance, unless such injury or damage is the result of an employee, agent, or contractor of APNM exhibiting gross negligence or intentionally acting in a manner likely to lead to my being harmed. I hereby release APNM from all actions, claims or demands that I, my assignees, heirs, distributees, guardians, and legal representatives now have or may hereafter have for injury or damage resulting from my participation in Assistance, except when an employee, agent, or contractor of APNM exhibits gross negligence or intentionally act in a manner likely to lead to my being harmed. I further voluntarily agree and warrant to Release and Hold Harmless APNM and its representatives from any liability whatsoever, including, but not limited to, any incident or illness of horses believed to be caused by or related to feed provided through this Assistance. I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability between myself and APNM, and sign it of my own free will.