Volunteer Application

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Do you have medical insurance? *

Medical conditions we need to be aware of

Are you 18 years of age or older? *

If no, parent signature will be required

Parent Signature *

Use mouse or finger to sign

Parent Name *

First

Last

Are you 16 years of age or older? *

If you are under 16 years of age a parent or guardian will need to accompany you during your volunteer shift(s).

Are you volunteering for school or community credit? *

Are you volunteering to fulfill court-ordered community service hours? *

Do you have any pets at this time? *

Are your pets spayed or neutered? *

What areas are you interested in volunteering for? *

Animals you'd be interested in interacting with? *

Please list related skills, qualifications, or volunteer work you have had with animals

Additional Comments

Your signature below acknowledges receipt of our release and waiver of liability *

Use mouse or finger to sign

Date of Signature *

Custom Captcha *

Phone

Tue-Thu 10am-2pm

Fri-Sat 10am-4pm

1308 Myrtle St
Fulton, TX 78358
Tel: 361-729-8186

Email Address