Petty Pawz Volunteer Form
First and Last Name:
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D.O.B./Age
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Street Address
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City:
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State:
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Zip:
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Home Phone:
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Cell phone:
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Email Address:
Is this for community service hours?
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Please Select
Yes
No
Employer/Job Title:
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May we contact for reference:
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Yes
No
N/A
If yes, please provide name and phone # of employer:
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Any physical restrictions:
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How did you hear about Petty Pawz Rescue?
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Why do you want to volunteer at Petty Pawz Rescue?
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What volunteer task are you interested in doing?
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Please Select
Transportation
Adoption Events
Photography
Grooming
On-Call When Needed
Do you work with any other rescue organizations?
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Yes
No
If so, please give contact information for that organization including name and phone #:
Please list any pets you currently own (or have owned in the past).
Animal Experience: (check all that apply)
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Veterinary Hospital
Boarding Facility
Foster Home
Dog Grooming
Cat Grooming
Shelter Work
Training/Obedience
Pet Sitting
Farm Animals
No Experience
Other
If you would like to comment more on your experience with the above, please do so here:
If you listed other, please explain:
Volunteer Work Preferences: (check all that apply)
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Shelter cleaning
Pet Transport
Dog Walking
Clerical/Office
Foster care (please fill out foster app)
Computer/Website
Special Events
Educational Programs
Community Outreach
Other
When are you available to volunteer? (check all that apply)
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Weekdays
Weekends
On-Call When Needed
Reference #1 (Name, phone # and relationship to self)
Reference #2 (Name, phone # and relationship to self)
Any additional comments:
In case of emergency, who should we contact? (name and phone #)
This volunteer agreement (“Agreement”) is entered into as of the date set forth below by Petty Pawz Rescue. WHEREAS, the Volunteer has voluntarily contacted Petty Pawz Rescue and has expressed an interest in working with dogs in the care and custody of Petty Pawz Rescue. In consideration of Petty Pawz Rescue agreement to allow the volunteer to view and/or interact with such animals, the volunteer hereby, for his/her heirs, his/her personal representatives, and him/herself represent and warrant as follows: 1. The volunteer is fully aware of the risks that the animals pose and have elected to view and/or interact with one or more animals in the care of Petty Pawz Rescue voluntarily. The volunteer knowingly assumes all risks that exposure to animals may pose, including but not limited to serious bodily injury and/or death. 2. THE VOLUNTEER HEREBY WAIVES, RELEASES DISCHARGES, HOLD HARMLESS, AND PROMISES TO INDEMNIFY AND NOT TO BRING SUIT AGAINT TLR, its directors, officers, volunteers, staff, and all other agents, and attorney for any of the referenced parties and any other parties acting for or on behalf of the referenced partied from an and all rights and claims which the volunteer has or which may hereafter accrue to the volunteer and from any and all damages which may be sustained by the volunteer directly or indirectly in connection with, or arising out of, the volunteer’s exposure to such animals.
By writing your name here, you are agreeing to the above liability waiver.
By writing your name here, you are stating that you are the parent/guardian of the above applicant and you grant your permission for them to volunteer with The Last Resort Rescue.
Anything else you would like to say, please note it here:
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