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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

Availability

Please provide your availability. We understand this can change occasionally, but this will provide a general idea of how you can help.

I am available to help with cleaning cages and visit with animals on the following shifts:

Weekday Mornings (8 - 10 a.m.)Evenings (5 - 7 p.m.)Not Available

I am available to assist with adoption events on:

SaturdaysSundaysNot Available

Is there anything else you would like us to know about your availability?

Additional Information

Indicate any special skills, abilities, or talents that may help support the mission of Jill's Acres.

Volunteer Agreement

As a volunteer of Jill's Acres, I understand that I will be volunteering at my own risk and that the organization, it's employees and affiliates cannot assume responsibility for any liability for any accident, injury, or health problems which may arise from any volunteer work I perform for the organization. I agree that the work I do is purely on a volunteer basis and I am not eligible to receive any monetary payment or reward. If I am under 18, I have received permission from my parent or guardian to volunteer.

YesNo