First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Cell Phone*

What is your age? You must be at least 18 years old.*

Do you have any experience with animals?*
Choose one: Yes No

What type of experience do you have?*

Are you employed?

What days of the week and what times are you available to volunteer?*

Do you an interest in any of our current volunteer needs?

Do you have any experience in any of the above, or any of work/volunteer experience that you want to share with us?

Have you ever been charged or convicted of a felony or misdemeanor involving the mistreatment of animals?*
Choose one: Yes No

Please provide name & cell number of a Person Reference (not a relative/significant other):*

I certify that the information entered on this application is true. Wag On Inn Rescue may contact my references and I give my permission for my references to release information about my ability to care for an animal to Wag On Inn Rescue. The undersigned applicant does hereby release and covenant to hold harmless Wag On Inn Rescue, its Members and its Officers, and indemnify them from any claims, damages, costs or actions incurred as a result of the volunteer activities or caused by the actions of the volunteer. Enter your name and date:*