Volunteer Application

MISSION: Bringing the community together through awareness and action for pets in need.

FOSTER PROGRAMS - EVENTS AND FAIRS - VOLUNTEERS

PET EDUCATION - HOME INSPECTIONS

VOLUNTEER APPLICATION
Date
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Current Employer
Employer Phone Number
Driver's License Number
What type of animal are you willing to foster? Dogs (small, medium, large) Cats
Do you rent or own?
If renting, what is your landlord's name and phone number?
Type of residence
How many adults live at your home and what are their ages?
How many children live at your home and what are their ages?
Has anyone in the home been convicted of animal cruelty or neglect?

Yes No
Name, Address and Phone of nearest relative not living with you:
Where will the foster dog stay when you are not at home?
Where will the foster dog sleep at night?
How many hours will the foster dog be alone each day?
Do you have a fenced in yard?

Yes No
Do you own any other pets?

Yes No
Names of current pets or pets owned in last 5 years and type of animal (ex: Barnie, basset hound dog; Felix mix breed cat, etc)
Name, Address and Phone of current Veterinarian:
If you own other pets are they up-to-date on their vaccinations?

Yes No
If you own other pets are they spayed or neutered?

Yes No
Please list any other experiences you have had with previous animals you have owned.
Please list any other experiences you have had with fostering animals.
Release

I hereby agree to not hold R.A.C.E. Inc or any of its volunteers, associates or foster care providers liable for any physical, emotional or property damages that are a direct or indirect result of activities involved in the placement, transport, grooming, training or evaluating of R.AC.E. animals in any way associated with R.A.C.E. Inc. This include any and all activities I perform as a R.A.C.E. Inc foster volunteer.
I/We hereby state that neither I/we nor anyone in my/our household, nor anyone who will have access to or care for this dog, has ever been charged with or convicted of any offense involving animal neglect, abuse or cruelty; regardless of any dismissal or deferred prosecution or other expunging of the records. I/We understand and agree that if this statement is found to be incorrect, without further evidence of any other contract violation, R.A.C.E. Inc may immediately obtain return of all animals.
Volunteer Signature *

Click and hold the left button of your mouse to sign. Clear
R.A.C.E. Inc Agent Signature

Click and hold the left button of your mouse to sign. Clear
Keeping a copy of this form for your own records is recommended.

Bob Hoffman is available to mentor, answer questions, and/or help to assure a positive foster experience. He can be reached at (301) 704-6898 or beau19999@hotmail.com.
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Release

Keeping a copy of this form for your own records is recommended.