Douglas County Humane Society Volunteer Waiver and Photo/Video Release
Covers Pet Pantry Transportation/Driving in Personal Vehicle, Onsite at Pet Pantry, All Event Participation, Photo Releases
Effective Date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Full Name:
Gender
*
Male
Female
Other
Telephone Number
*
Email
*
example@example.com
Address:
*
By signing in my full name, I am agreeing and giving consent to the aforementioned.
*
Email this form to:
*
info@dchsociety.com
Submit
Should be Empty: