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Humane Society of the Lakes
Volunteer Application

Volunteer Application
Are you over the age of 18?
    Yes   No  
If you are under the age of 12 you must have a parent or guardian with you when you volunteer.  
If you are under the age of 12 please list the name of your parent/guardian that will be your supervisor.
Home Phone:
Work Phone:
Cell Phone:
How do you prefer to be contacted?
    Home   Work   Cell  
Emergency contact person:
Phone #:
Medical restrictions:
Have you had a tetanus shot within the past seven years?
    Yes   No  
I hereby authorize the Humane Society of the Lakes (HSL) to seek emergency medical treatment in case of accident, injury, or illness.  By participating in the HSL volunteer program, I agree to hold harmless the Humane Society of the Lakes and any employee and/or member of the Board of Trustees of said agency from any liability arising in conjunction with my participation in a HSL volunteer program.
    Yes   No  
Name and Date:
Parents name and date:
(Required for volunteers under 18 years of age)
How often would you like to volunteer:
Which days/hours would you be available:
Would you be available for weekends/holiday?  Please list which ones:
Please note which opportunities you would like to work
Current Fundraisers/Events:
    PetSmart Adoption Days   Santa Photos   WeFest   Tuxes & Tails   Irish Fundraiser   Shelter Fest   Annual Water Carnival Parade  
Volunteer Opportunities at the Shelter:
    Kennel Crew Dog   Kennel Crew Cat   Canine Companion   Feline Friend   Office Support   Groomer   Shelter Cleaning   Shelter Maintenance   Groundskeeper   Animal Transporter   Donation Pick-Up   Evacuation/Disaster Team   Foster Home for Dogs or Cats  
This institution is an equal opportunity provider and employer.
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