Rescue Event Participation Form
Complete the participation form for the rescue event. All fields are optional unless the source document explicitly marks them required.
Organization and Event Details
Organization Name
Event Name
Event Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location
Participant Information
Full Name
First Name
Last Name
Address
City / State / ZIP
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Emergency Contact Name
Emergency Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Participation and Duties
Participant Status
Registered Volunteer
Community Member
Temporary Helper / One-Time Participant
Vendor / Partner Organization
Role / Duties
Animal Handling
Setup / Cleanup
Transportation
Event Booth
Fundraising
Other
Other Role / Duties
Experience and Health Information
Do you have prior experience working with animals?
Yes
No
If yes, please describe your prior experience.
Do you have any allergies or physical limitations we should be aware of?
Yes
No
If yes, please explain your allergies or physical limitations.
Media Release and Signatures
Media and Photo Release
I agree
I do not agree
Signature
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Printed Name
Parent/Guardian Signature
Parent/Guardian Signature Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reviewed by
Review Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Notes
Submit
Submit
Should be Empty: