BHR Volunteer Registration Form

Volunteer Registration
Name*

First NameLast Name
I am 18 or older:

YesNo
Spouses/Significant Other Name

First NameLast Name
E-mail
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you text?

YesNo
I am interested in (Select all that apply):
Fostering Dogs:

Puppies 0-3 Months oldPuppies 4-8 Months oldPuppies 8-12 Months oldAdults 1-5 Years oldAdults 6-8 Years oldAdults 9+ Years oldWill foster as long as the foster needs meWill foster in EmergencyWill foster Short Term
Fostering Cats:

Kittens 0-3 Months oldKittens 4-8 Months oldKittens 8-12 Months oldAdults 1-5 Years oldAdults 6-8 Years oldAdults 9+ Years oldWill foster as long as the foster needs meWill foster in EmergencyWill foster Short Term
Transporting:

SuppliesDogsCatsWeekendsWeekdaysAnytimeAMPMLocalOut of Area
Adoption Events (Saturdays):

Set up/take downStay and help with event
Home visits:

WeekdaysWeekendsMorningsAfternoonsEveningsOther
Supply Runner (transports supplies once a week to fosters):

I could do this
Petco Cat Kennel Cleaning (a set day once a week):

I prefer the WeekendI prefer a Weekday
Feral Cat Trappers (as needed when we have a trapping project . . . usually just one project a year):

WeekdaysWeekendsMorningsAfternoonsEvenings
Fundraisers:

I will take the leadI will help as needed during eventI will find and collect donationsI will do advertising
Grant Writer

I know how to do thisI would love to learn
Other:
If fostering (Initial after each statement):
I/We understand that before I can foster, a foster application and home visit is required.
Initial:
I/We agree to indemnify and hold Broken Hearts Rescue by, from, and against all claims, suits, damages, liabilities and costs related to or in any manner connected with any furkid in their care. I/We further acknowlege understanding that the furkid is property of Broken Hearts Rescue, and that they may place, spay/neuter, medically treat, or any other actions they feel necessarty.
Initial:
Should be Empty: