Friends of Steelville Pound/Santana's Hope 4 Paws Volunteer Application

Friends of Steelville Pound/Santana's Hope 4 Paws

Volunteer Application

Steelville, Missouri

Full Name

First NameLast Name

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Home Phone Number

Area CodePhone Number

Cell Phone Number

Area CodePhone Number

Date of birth

MonthDayYear

What is the best way to contact you?

May we text you?

Emergency contact person

Emergency contact phone number

Area CodePhone Number

Availability

Write down best times. Example: Monday 8:00 am to 9:00 am

My volunteer interest are: Check all that apply.

Other type of volunteer interest

If you are interested in transporting the dogs, please provide the following information:

Drivers license number

Vehicle Description

License plate number

Do you have any medical issues, limitations, or allergies? If so, please describe.

How did you hear about us?

Do you have a Facebook Account? If so, please join our Volunteer group to stay updated on all plans and events. Search Facebook for "Volunteers Friends of Steelville Pound.

I understand that I am only to do what I have been instructed by the animal control officer or pound caretaker. I will not hold the city of Steelville, Steelville, Police Department, or the Steelville Pound responsible for any injury that may occur while I am volunteering. I understand the risk involved when working with the animals. I voluntarily except all responsibility. If I am injured, I expect no payment, financial support, or comepenasion. I further state freely that no person can bring any action against any party mentioned above on my hahalf due to my disability or incompetence.

I agree to the terms of this application. I understand that by submitting this application I am signing with my online signature.

Today's date:

MonthDayYear

Signature