Name:__________________________________________________________________

Street Address:___________________________________________________________

City, State, Zip:___________________________________________________________

Phone: (H)___________________ (W)________________ (C)____________________

Email___________________________________________________________________

Age: _____14-17 years _____18 years or older

Birthday (day/month): ________________________

Do you have any allergies or physical restrictions? _____ If so, briefly explain.
_______________________________________________________________________

How did you hear about Horse Creek?
_______________________________________________________________________

Why do you want to volunteer at Horse Creek?
_______________________________________________________________________

Do you have any experience working with animals?_______ If so, briefly explain.
_______________________________________________________________________

What special talents would you like to utilize at Horse Creek?
_______________________________________________________________________

What type of service would you like to perform at Horse Creek (example: walk dogs, groom dogs, leash train)?
_______________________________________________________________________

When are you available to volunteer?

_______________________________________________________________________

Approximately how many hours per week do you plan to volunteer? ___________________

I confirm that the information provided on this form is correct. I understand the commitment involved and acknowledge that my services are offered at my own risk. I agree to adhere to policies and carry out my duties effectively and in the best interest of Horse Creek Wildlife Sanctuary and the animals.