Tri-County Animal Rescue Center

Shippenville, Pennsylvania

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Date

MM/DD/YYYY

Date of Birth

MM/DD/YYYY

Street Address

City, State, Zip

Email

Phone Number

Please include the area code

Preferred Method of Contact

If you are applying for Community Service:

Please indicate the agency/school, address, name of contact person, their phone #, and, if it is court-ordered, state the nature of the offense.

Why do you want to volunteer with the Tri-County Animal Rescue Center?

Areas of Interest (Check all that apply)

Certifications and Experience:

Please describe any previous experience or certifications

Do you know any Tri-County Animal Rescue Center volunteers?

Center? volunteer know

If yes, please list their name and relationship to you

Agreement. PLEASE READ EACH BOX CAREFULLY BEFORE CHECKING

I will treat all animals and volunteers with respect and I will work as a team member with all volunteers.
I will abide by all TCARC policies and procedures and follow the directions/instructions of the TCARC staff.
I agree to be supervised by the appropriate staff and will report any problems that arise directly to the Volunteer Coordinator.
I understand the possible risk of bringing home illnesses from the shelter to personal pets or vice versa and must have current vaccinations for animals at home.
I understand the potential safety risks of working with animals and that I may not bring friends or relatives with me while working at the shelter facility.
I authorize TCARC to seek emergency medical treatment for me in case of accident, injury, or illness
I agree to indemnify and hold harmless TCARC, its board of directors, officers, agents, and employees from and against any and all liability whatsoever arising out of or related to my duties under this agreement or for any negligent act or omission by TCARC, its Board of Directors, officers, agents, and employees.
If I fail to abide by the terms of this Agreement or am otherwise unable to meet the requirements of the volunteer program, which are subject to change by TCARC from time to time, I understand that I will be terminated from the program. I also understand that I may at any time be removed from my position as a volunteer at the sole discretion of the Volunteer Coordinator.

Electronic Signature

By typing your name, you agree to electronically sign this document

Today's date

MM/DD/YYYY

We have facilitated
1914
adoptions
since December, 2011

Make a donation with PayPal