First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Cell Phone*

How old are you? You must be at least 18 years old to volunteer for Wag On Inn Rescue. *

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

What type of experience do you have?*

Do you work?

Full-time or part-time?*

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

Do you have any interest in doing any of the following volunteer jobs for our rescue?

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):*

Anything else you'd like to tell us?

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:*