First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

County

Email*

Home Phone

Work Phone
x

Cell Phone

Alt Email

Are you 18 years of age or older?*
Choose one: Yes No

If you are under 18 years of age, do you have your parent's/guardian's permission to volunteer? You will need to have your parent/guardian sign a release prior to volunteering. If you are under 18 years of age, what is the name, phone number and e-mail address of your consenting parent/guardian? *

Please list the name of one emergency contact, including their name, phone number and relationship to you.*

Are you volunteering because you need community services hours?*
Choose one: Yes No

Please indicate all areas in which you are interested in volunteering

I state and agree that I have at least a basic understanding of handling dogs and cats. I also understand that dogs and cats bite, scratch, or otherwise cause me harm, even if the dog are known to have an even temperament. I understand that dogs, especially ones that that have been rescued and possibly abused and/or traumatized, can get easily startled, scared, feel threatened and may cause me harm. I expressly assume the risk of any and all injuries or damages I might incur relating to my dealings with dogs (or any other animal rescued by Animal Advocates FL). Please initial to accept*