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.
Format: (000) 000-0000.
Email
*
example@example.com
May we send you important news and event invitations?
*
Yes
No
What are your volunteer interests? (check all that apply)
Dog walking, training and/or socialization
Dog area cleaning and/or feeding
Cat socialization
Cat area cleaning and/or feeding
Grooming dogs and/or cats
Facility cleaning, laundry and/or maintenance
Landscaping and/or exterior maintenance
Clerical
Fundraising
Special events
Offsite adoption events
Thrift store
WAIVER OF LIABILITY: The undersigned does understand that his/her association with the Charles Smithgall Humane Society and Adoption Center is a VOLUNTEER position and acknowledges that working with animals, cleaning chemicals, and facility equipment may be dangerous and can lead to serious injury or even death. The undersigned understands and agrees to personally assume any and all liability and risks of working at the Charles Smithgall Humane Society and Adoption Center. Further, the undersigned agrees to hold harmless Charles Smithgall Humane Society and Adoption Center, and any of its officers, employees, or agents from any responsibility of liability for any and all personal injuries or death which may occur during the term of this agreement.
*
I have read and agree to all guidelines, terms and rules listed above.
Please type your name here as a legal representation of your signature.
*
If you are under 18 years, please have your parent or guardian type their name as a legal representation of their signature.
Please verify that you are human
*
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