First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Work Phone*
x

Cell Phone*

Name of your Group*

How many volunteers are in your group?*
Choose one: 4 5 6 7 8 9 10 11 12 13 14 15

Age Group (All Volunteers Must be over 16)*

Why are you interested in volunteering with us?*

What date(s) is your group planning to volunteer? *

How many volunteers are coming from 7am-11am ?*
Choose one: none 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

How many volunteers are coming from 11am-3pm ?*
Choose one: none 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

How many volunteers are coming from 3pm-7pm ? *
Choose one: none 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Are you volunteering with the animals or are you engaging in a shelter project? *

Please list the main contact name, phone, and email address. *

Comments / Is there anything else you want us to know?*

VOLUNTEER RELEASE: I am requesting a volunteer position within Pet Rescue By Judy. I agree to read and follow the rules and guidelines of the organization. I agree not to hold any director, board member, employee, or any other individual personally or otherwise responsible in the event that I sustain personal, financial, emotional or property loss/damage while serving the organization. I agree to follow the supervision of all persons involved in volunteer management. I understand that as a volunteer I am an important representative of Pet Rescue By Judy and must do my best to represent the organization in a manner that is consistent with its articles, by-laws, guidelines and philosophies. I have read and understand this volunteer release and agree to adhere to its entirety. (name and date)*