Volunteer Registration Form

Name*

First NameLast Name

E-mail*

Birth Date*

MonthDayYear

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Have you ever been charged with or convicted of animal neglect, animal cruelty, or any violent crime?*

YESNO

Please indicate areas to volunteer according to your skills*

Direct Animal Care (bathing, brushing, walking, etc...)Office WorkDriving (long and/or short distance transportation) NOTE: If you wish to drive you MUST submit a copy of your driving record. This is called a Motor Vehicle Report in Oklahoma and can be obtained at the tag office.Transport assist (prepping and loading animals for transports)Cleaning (offices, kennel area, yardwork, etc...)General Labor (moving things, assembling items, etc...)Fund raisingSpecial Skill (vet tech, dog groomer, dog trainer, etc...)Other

Are you willing to sign a liability release?*

YESNO

Are you willing to attend a training day to learn the rescue's practices and procedures?*

YESNO

Are you willing to submit information and authorization for a background check?*

YESNO