Preferred Site*
Animal ShelterResale ShopEither / Both

Earliest Start Date*

Areas of Interest (check all that apply)
Animal CareDog WalkingCat SocializingCustomer Service (Resale)Sorting & Pricing (Resale)Donations Intake (Resale)Events & OutreachFacilities/GroundsOther

Full Name*

Middle Initial

Street Address*

City*

State*

Zip*

Mailing Address (if different)

Email*

Phone (Home)

Phone (Work)

Phone (Mobile)*

I am StudentEmployedRetired

School/Employer

Seasonal Resident? NoYes

If yes, which months?

Allergies or medical conditions

Animal handling experience (Shelter)

Customer service/retail experience (Resale Shop)

Pets currently in your household

Why do you wish to volunteer at HSLC?*

How did you hear about HSLC?

Typical availability (days/times)

Name*

Phone*

Relation*

I consent to HSLC using photographs or video of me for public relations purposes. HSLC may use reasonable efforts to notify me, but notification is not a condition of release.

By submitting this form, you acknowledge the risks associated with volunteering at HSLC facilities and agree to release HSLC, its agents, employees, and Board of Directors from any and all claims or demands connected with your volunteer services.

I have read and agree to the Liability Release terms.

Typed Signature (Full Name)*

Date*

Age*

Parent/Guardian Consent (for volunteers under 18)

Parent/Guardian Name

Parent/Guardian Phone

I am the parent/guardian of the above-named volunteer and agree to all terms and conditions in this release.