Volunteer Application

    (*) indicates a required field

    Name
    First Name (*)
    Middle Init. (*)
    Last Name (*)

    Street Address

    City

    State

    Zip Code

    Your Date of Birth (*)

    Phone Numbers
    Home:
    Cell(*):
    Work:

    E-mail Address (*)

    Preferred method of contact:
    HomeCellWorkE-mail

    Have you had any previous experience (volunteer and/or employee) with any rescue group or animal shelter?

    Please tell us why you would like to volunteer at CARE

    List your pets
    (Name, Age, Breed, Spayed/Neutered, Behavior Issues)

    Days/Times Available (*)
    Please list all days and AM/PM when you would be available

    Medical Conditions/Physical Restrictions

    Allergies

    Date of Last Tetanus

    Emergency Contact
    Name (First/Middle/Last)
    Street Address
    City/State/Zip
    Home Ph:
    Cell Ph:
    Work Ph:

    INSURANCE WAIVER

    The undersigned Volunteer and the Center for Avian Rehabilitation & Education, Inc. (CARE, Inc.) enter into the following binding Agreement:

    Volunteer understands that CARE, Inc. makes no warranty as to age, health, breed, habits and/or any remote location could inflict upon any person or property, and for any illness of the animal or for the transmittal of any illness or parasite to any other pet or person. Volunteer further indemnifies and holds harmless CARE, Inc. for any actions, suits, fees and/or expenses (including actual attorney's fees) arising out of any injury from an animal on the premises of CARE, Inc. and/or any remote location.

    The volunteer name on this application indicates they are at least 18 years old.
    YesNo