Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone Number (###) ### #### Email * Age * In case of emergency-name * First Name Last Name In case of emergency-address * Address 1 Address 2 City State/Province Zip/Postal Code Country In case of emergency-phone number * (###) ### #### Health concerns or allergies we need to be aware of * Availability * Mornings Afternoons Days of week * Sunday Monday Tuesday Wednesday Thursday Friday Saturday Type of work you would like to do (includes but not limited to, and not guaranteed) * Walking dogs Help clean shelter (dog/cat pens, general cleaning, etc.) Maintenance of shelter (mowing, painting, repair, etc) Other Other work Comm service only-Nature of Offense * If not applicable put N/A Person you report to * If not applicable put N/A Phone number of person you report to * If not applicable put N/A As a community service work/volunteer, I hereby release the Saline Animal League of any liability from the injuries or damages to myself or personal property in the course of my volunteer services. I understand there will be NO payment of any kind offered and/or given for any work I accept * Yes By typing my name I am electronically entering my signature * Yes Electronic Signature Thank you!
