Pitties and Pals Rescue Volunteer Application
Full Name
*
First Name
Last Name
Age
*
Applicant must be 18 years of age or older.
Full Name & Date of Birth.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Namibia
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New Caledonia
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Nigeria
Niue
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Peru
Philippines
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Poland
Portugal
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Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
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Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
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South Ossetia
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eSwatini
Sweden
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Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Trinidad and Tobago
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Tunisia
Turkey
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Vatican City
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Isle of Man
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Wallis and Futuna
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Other
Country
Home Phone
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Area Code
Phone Number
Cell Phone
*
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Area Code
Phone Number
E-mail
*
example@example.com
Facebook Name
Instagram Name
Tell us about the pets you currently own:
Do you have experience with the Bully Breed or other Med/Large Breeds of dog? If so please explain.
Are you familiar with using a prong collar and are you willing to use one? We will provide training.
*
Have you volunteered with a rescue before? If so please explain
What days/times are you available?
*
What interests you the most? (Check all that apply)
Fostering
Adoption Events
Home Checks
Vet Appointments
Dog Walking
Fundraising
Social Media/Web Design
Do you have experience with fundraising? If so please explain.
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Please read and sign below: As a new volunteer, I hereby acknowledge and agree that there are inherent risks in accepting the care and custody of any animal. I have full knowledge of the risk associated with the care and custody of domestic animals, including but not limited to: • Animals are different than humans and may differ in their responses to human behavior, and I understand that sometimes their responses change with their environment. • Animals’ behavior may be unpredictable and they may bite or otherwise injure the undersigned. You must be able to recognize the difference between an animal not feeling well and an animal just acting irritable. • I acknowledge that this list is not inclusive of all possible risks associated with the care and custody of any Pitties and Pals Rescue animal and in no way limits the extent or reach of this release. I also acknowledge that the Pitties and Pals Rescue has not made any warranty, either expressed or implied, as to the behavior, fitness or health of any animal offered for adoption or foster. • If I accept the care and custody of any animal, the undersigned agrees to release and indemnify and hold harmless Pitties and Pals Rescue or any agent representing Pitties and Pals Rescue from any cause of action, claim, suit, or demand of any nature whatsoever, including but not limited to any claims of negligence that I or any family member, heirs, agent representatives, executors, administrators and assigns may now have, or may have in the future, against Pitties and Pals Rescue on account of personal injury, property damage, death or accident of any kind, arising out of or in any way related to any animal the Pitties and Pals Rescue has offered for adoption or foster.
*
Check box that you agree to the statement above
Signature
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Date
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