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STATEMENT 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? _____ Tuesday afternoons _____ Thursday afternoons _____ Saturday afternoons _____ Other (please specify):________________________________ 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. |
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