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
*
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Day
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Month
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: