Please Complete this information so that we know how to contact you. Thanks!
If you don't receive an auto-responder after filling out this form, your application wasn't submitted to Small Paws Rescue. Only after filling in all required fields and submitting this form will will you receive an auto-resonder message.
Where did you hear about us?
1. Are you a
New Volunteer or
Updating your information?
Add me to the Small Paws Rescue Online Mailing List
2. Your email address to which requests should be sent: (Please enter only one!)
3. Your first name:
Your Last Name:
4. Your physical address (this information will not be added to the web site, and will be kept private)
5. Your telephone numbers:
Home:
Work: (will not be added to website)
Cell:
6. I am able to (Please check those that apply)
transport only
transport and foster
foster only
rescue from shelters, owners, etc, on short notice
Since we fly many of our dogs to their forever homes, are you willing to take the dog to the airport and put it on the plane for us?
Yes
No
7. Which areas of your state can you cover for us?
8. Your vet's name and address?
Vet's Phone Number:
We will be calling your vet for references, is this ok with you?
Yes
No
9. Do you have children at home?
Yes
No
If you have children at home, what are their ages?
10. Do you have children visiting?
yes
no
If you have children visiting, what are their ages?
11. Do you work outside the home?
Yes
No
12. Do you have a dog now?
yes
no
How many dogs and what are their names and ages?
13. Have you had other dogs in the past 10 years?
Yes
No
Where are these past dogs now?
14. Do you have any cats?
15. Have all your pets been altered?
16. Do you live in a house or apartment?
16a. If you live in a house, is the yard fenced?
yes
no
If yes, what type of fence?
If no, how will you handle exercise and toilet duties?
I understand that no SPR dog may be allowed off lead outside a fenced area, at any time, for any reason. (initial and date)
17. Additional Comments:
18. Have you read our Rules and Regulations and agree to follow them?
Yes
No
Small Paws® Rescue Volunteer Rules and Regulations
I understand and agree to follow the rules and regulations set forth by Small Paws Rescue Inc., including our Aggression Policy, as set forth by the Small Paws Rescue Board of Trustees
I Agree
I Do Not Agree
Approved applications are added to this page:
Small Paws Rescue Volunteers
Please list the names of the adults in your household, including yourself:
Please list the ages of the adults in your household, including yourself:
I am 21 years of age or older
Yes
No
Intials and date==>
I have read and understand and agree to implement the following rules and regulations, including the SPR aggression policy.
Yes
No
I WILL NOT AT ANY TIME DISCLOSE CONFIDENTIAL, PERSONAL INFORMATION OF ADOPTERS OR VOLUNTEERS, THAT MAY BE SHARED WITH ME.
Yes
No
Add Me to the Small Paws® Rescue Newsletter Mailing List!
Indicates Response Required
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