Volunteer Application

Application – Volunteer

About You

For any applicant under 18 years of age.
What type of volunteer position are you interested in?
Check all that apply.
Name
Name
First
Middle
Last
Address
Address
City
State/Province
Zip/Postal
Maiden name, previous name before a name change, etc.
Must be 18+ to volunteer for dog interactions, 16+ for cat interactions due to insurance regulations
For any applicant under 18 years of age.
For any applicant under 18 years of age.
For any applicant under 18 years of age.

Emergency Contact

Person, other than yourself, who we may contact if necessary.
Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal

Other

Proof will be required.
Sending

In consideration of my participation in activities of the South Wood County Humane Society (SWCHS), I do agree to hold free from any and all liability the SWCHS and its officers, employees and members. I do release and forever discharge any rights and claims for damages or injuries, which I may hereafter incur, arising out of or connected with my participation in any activities or duties of the SWCHS. By submitting my application, I declare myself to be physically sound and medically able to participate in the activities of SWCHS.