Вы находитесь на странице: 1из 7

Application To Volunteer

We are looking for a few good volunteers who are able to assist with rescue operations, and functions all over the state of NH. If you are interested in helping us out, Please copy and paste the following application into your email. Remember to answer all questions and send completed application to dgdogrescue@yahoo.com. You may also print the application and mail it directly to us at.. DO-Good Dog Rescue PO Box 1320 Ashland, NH 03217 dgdogrescue@yahoo.com

First Name : Address Street 1: Address Street 2: City: State: Zip Code: Day Time Phone: Evening Phone: Email: 1

How are you interested in helping? Please check all that apply. Board Members Fundraising Coordinator Web Master PR/Advertising K9 Foster Transport Event Staff Trainer

Other, Please list.

Please list 2 personal references: Personal Reference #1 First and Last name: Daytime Phone: Evening Phone: Personal Reference #2 First and Last name: Daytime Phone: Evening Phone: For Fosters Only.. If not interested in fostering please skip down to the waiver portion of the application. Veterinarian's First Name: Veterinarians Last Name:

Veterinarian's Phone: How many adults live in your home? : Do you have children that live at home? : How old are they? : Does everyone in your home agree to adopting a dog? : How long have you lived at your current residence? : Do you own or rent your home? : If you rent Landlords First Name: Landlords Last Name: Phone Number: Does the landlord permit a pet of this size?

Do you have a fenced in yard? :

If so what kind of fence, and how high? :

If you do not have a fenced in yard how do you plan to exercise the dog? :

Please list all pets that currently live in your home:

Are all of your current pets spayed/ neutered and vaccinated? :

How many hours a day will this dog be left alone? :

When you are gone where will the dog be kept? :

Where will the dog sleep at night? :

Are you willing to participate in a dog obedience program if needed? :

Please list what age, sex, and breed of dog you are interested in fostering:

Please read and initial all statements below.. I hereby certify that all provided information is complete and true to the best of my knowledge. Initial Here I understand that a DO-Good Dog Rescue member may conduct an interview and home check. Initial Here

I understand that I cannot keep the dog unless I myself am an approved adopter and I will be responsible for the full adoption fee. . Initial Here

I understand if I can no longer foster the dog I will return the dog to DGDR, and not another person or shelter. . Initial Here

I understand I will be responsible for keeping this dog fed, watered, exercised, up to date on shots, and all vet appointments as needed. If this is a problem I will contact DGDR as soon as possible. . Initial Here Please type your full name. Typing your name here implies you are agreeing to the terms stated above. You are also verifying all information provided is true to the best of your knowledge. :

By singing your name here you certify that you have read and agreed to all terms listed above...

Printed Name:

Signature:

Date: PLEASE NOTE: The Board of Directors reserves the right to modify any regulations provided it does not conflict with any state regulations.

DO-Good Dog Rescue (DGDR) LIABILITY RELEASE AND WAIVER FORM


I hereby, for myself, my heirs and my personal representatives, represent and warrant as follows: 1. I am fully aware of the risks that dogs pose and have elected to view and/or interact with one or more dogs in the care of DGDR voluntarily. I knowingly assume all risks that exposure to dogs may pose, including but not limited to, serious bodily injury and/or death. Initial Here

2. I hereby waive, release, discharge, hold harmless, and promise to indemnify and not to bring suit against DGDR, its directors, officers, volunteers, staff, and all other agents, and attorneys for any of the referenced parties, and any other parties action for, or on behalf of any of the referenced parties from any and all rights and claims which I have or which may hereafter accrue to me and from any and all damages which may be sustained by me directly or indirectly in connection with, or arising out of, my exposure to such dogs. Initial Here Yes, I accept this waiver and release from DGDR all liability. Initial Here

Please type/print your full name. Typing/printing your name here implies you are agreeing to the terms stated above. By typing/printing your name here you certify that you have read and agreed to all terms listed above.. Please type/print your full name on the line below:

If printing this application please provide written signature on the line below:

Date:

Вам также может понравиться