edit  APPLICANT 
Do you have a Driver's License? *

 

  edit  ADDITIONAL INFORMATION
How did you hear about us? *
Are you on Facebook? *
Have you volunteered for any other animal organizations? *
What type of Volunteer Work are you interested in? (You can choose any (no limit) from our volunteer opportunity list or tell us what talent you possess that you would like to incorporate with our group (list below)):
Do you have any conditions or limitations that would prevent you from specific volunteer activities that we should be aware of? *
  edit  EMERGENCY CONTACT INFORMATION (Primary)

Please enter the Information below for an Emergency Contact.  If desired, a second Emergency Contact maybe listed.

  edit  EMERGENCY CONTACT INFORMATION (Secondary)
  edit  WAIVER OF LIABILITY 
I understand as a volunteer with Adopt Me! Bluegrass Pet Rescue, I may come in contact with animals with unknown histories. *

I understand these animals may have undiagnosed diseases, conditions, and/or behavioral problems that are unknown to Adopt Me! Bluegrass Pet Rescue. *

I am willing to undertake the risks of working with animals of unknown history and/or temperament. *

I do not hold Adopt Me! Bluegrass Pet Rescue, its Board or volunteers responsible for any injuries or illnesses that I may encounter while volunteering. *

I understand the risks involved and willingly participate in volunteer activities on behalf of Adopt Me! Bluegrass Pet Rescue. *

  edit  SIGNATURE 

 

* Agreement:  By entering my name in the box above, I confirm that to the best of my knowledge, all information furnished in this application is true and correct.