First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone*
Work Phone x
Cell Phone
Are you* Choose one: Adult Jr Volunteer (under 18)
What is your age?* Choose one: 18-20 years old 21-30 years old 31-40 years old 41-50 years old 51-60 years old 61-70 years old 71 years or older
Purpose for volunteering:* Choose one: Personal choice School hours Community service
Name of parents and phone number (for those under 18):
In consideration of TCHS offering this volunteer opportunity, I/We agree to the following, intending to be legally bound: 1) My/Our child(ren), or child(ren)under my/our guardianship, has enough experience with a. dogs and/or cats b. is mature enough to volunteer with TCHS and to participate in activities with dogs/puppies of all sizes and/or cats/kittens. 2) Whenever my/our child(en) under my/our legal guardianship, participate(s) in TCHS activities, I/We hereby release and agree to indemnify, defend and hold harmless TCHS, its directors, officers, employees, agents and volunteers, and its and their heirs, successor, assigns and personal representatives, from and against liability for any injuries, damages, liabilities, losses, judgements, costs or expenses whatsoever (the "Losses"), which such child(ren) or any pet or other person might suffer or sustain, except any Losses which are the result of the TCH's gross negligence or intentional misconduct. 3) I acknowledge that there are risks that the child(ren) could be bitten, scratched, injured, or frightened by the dogs/puppies and/or cats/kittens and i/we assume such risks. 4)I understand and agree that the shelter/TCHS may refuse volunteer applications for any reason. 5) I have accurately and truthfully completed this Permission and Release Form. 6) This Permission and Release Form is binding upon me, my spouse, partner and my and his/her respective heirs, successors, assigns, executors and personal representatives.
What kind of volunteering are you interested in doing?
Other (please explain):
Do you have any experience or training in any of the following areas?
Please provide specifics for any areas you checked:*
How many hours can you donate?*
Per:* Choose one: Day Week Month
What days are best for you (please check all that apply):
What is the best time for you (please check all that apply):
Have you ever volunteered at another shelter or animal facility and/or do you hold any animal organization memberships? If so, please explain:
What do you do for a living or what specific talents do you possess that you think would be a benefit to the shelter?*
Do you personally own a dog, cat, or other types of pets? If yes, please describe:*
If you do not own a dog or cat at this time, have you owned dogs or cats in the past?*
