Volunteer Form ============== First Name Last Name Date of Birth (mm/dd/yy) Gender Spouse's Name Spouse's DoB (mm/dd/yy) Home Address City State Zip Home Phone Work Phone Cell Phone e-mail address Reference 1 (name, address and contact phone number) Ref. 1 e-mail address Reference 2 (name, address and contact phone number) Ref.2 e-mail address Reference 3 (name, address and contact phone number) Ref. 3 e-mail address Does anyone else in your family have any skills, hobbies, talents, etc., that they may want to volunteer at Puppy Pals Rescue? (Yes/No) Why are you interested in volunteering for Puppy Pals Rescue? What are your areas of interest? Please list the hours you are available Are you a valid licensed and insured driver? (Yes/No) Are you willing to use your car to transport people or animals as part of your volunteer work? (Yes/No) Do you have any health problems (allergies, physical disability, or other limitations) that would be affected by volunteering for Puppy Pals Rescue? (Yes/No) If yes, please explain Do you have any experience working with animals? (Yes/No) If yes, please give details Do you have any pets? (Yes/No) if yes, please list, name, breed, age and gender Are all animals in the household Spay/Neutered? (Yes/No) Are all your animals up to date on vaccinations? (Yes/No) I will be doing volunteer work for Puppy Pals Rescue and understand and agree to the following: Volunteers shall abide by the safety rules, regulations, policies, and procedures of Puppy Pals Rescue (Accept/Decline) Volunteers shall work for Puppy Pals at their own risk (Accept/Decline) Volunteers hereby indemnify and hold harmless Puppy Pals Rescue for any damages, injury or casualty resulting from their work on the premises of Puppy Pals Rescue or in work concerning Puppy Pals Rescue. (Accept/Decline) Puppy Pals Rescue shall not be liable in any manner or form for the negligence or unlawful acts of volunteers.(Accept/Decline)