Volunteer Application
River Valley Humane Society
Your Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Your DOB
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Children's Names & Ages (if volunteers are under 18) or N/A
*
Your Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list any allergies or medical concerns we need to know about:
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How can you help?
Cat care: cleaning, feeding, grooming
Cat socialization: petting, play
Dog care: cleaning, feeding, grooming
Dog Socialization: petting, play, walks
Adoption/Special Events (off-site)
General cleaning: laundry, cleaning crates and carriers, etc.
Submit
Should be Empty: