Petstablished | Manage your Animal Welfare Organization (AWO) with our easy-to-use software.

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Personal Information

* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

* GenderMaleFemale

Country

*State/Province

Date of Birth

* Month

* Day

* Year

Signatory

Risk Assessment for Volunteers

I have read and understand the contents of the Risk Assessment For Volunteers Information Sheet.

YesNo

I hereby acknowledge that I have voluntarily agree to participate in the Volunteer/Community Service Program at Town and County Humane Society. I am aware that this program will involve exposure to the animals kept at Town and Country facilities, and hereby release Town and Country Humane Society from and against any and all liability arising out of or connected in any way with my participation in the program.

If under 18, a parent or guardian must sign on your behalf.

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Volunteer Waiver

Personal Information

Signatory