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2. Child Information
4. Full Legal Name*
5. Date of Birth*
   Date of Birth
7. Email Address
8. Primary Phone
12. Parent/Guardian Information
14. Today's Date*
    Today's Date
15. Full Legal Name*
17. Address*
19. City*
20. State*
21. Zip Code*
23. Primary Phone*
24. Secondary Phone
25. Date of Birth*
    Date of Birth
27. Email Address*
28. Drivers License #*
29. State of Drivers License*
33. References/Emergency Contacts
35. Name*
36. Phone #*
38. Name*
39. Phone #*
41. Name*
42. Phone #*
46. Please check all areas of interest:*

    1. Dog Kennel Sanitizing
    2. Cat Kennel Sanitizing
    3. Dog walking

    1. Taking Animal Pictures
    2. Animal Socializing
    3. Offsite Adoption Events

    1. Transport Animals to/from Vet Appointments
    2. Medicating Animals
    3. Adoption Counseling

    1. Grooming
    2. Dishes/Laundry
    3. Organizing Supplies
48. What days are you available?

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday
49. What time of day?*

    1. Morning
    2. Afternoon
    3. Evening
50. Are you available for weekend offsite events?*

    1. Yes
    2. No
51. Which do you prefer to work with?*

    1. Cats
    2. Dogs
    3. Both
53. Why do you want to volunteer with The Colony Animal Services?*
55. List any animal experience:
59. Parent/Guardian
61. Agreement
    I agree to accept a voluntary position with the City of The Colony Police Department - Animal Services Division. I understand that the term VOLUNTARY refers to the way in which actions or services are rendered to the City of The Colony with no expectation of any compensation or benefits. I understand that the City of The Colony will not be held liable or assume any liability on behalf of anyone performing voluntary actions or services. I understand that the volunteer performs their actions and duties at their own risk. Further, I understand my volunteer status may be terminated at any time and that I must return any property owned by the City of The Colony at that time.
63. Release*

    Please check each box to agree to the following terms:

    1. I agree to release, discharge, indemnify and hold The City of The Colony harmless for any and all damage to my personal property while performing as a volunteer.
    2. I recognize that with the handling of animals at The Colony Animal Services Center, there exists risk of injury and sickness, including personal injury or harm. I hereby release, discharge, indemnify
    3. I give permission for The City of The Colony to run a background check to determine my suitability for this position as they deem necessary.
65. I HAVE READ AND UNDERSTAND THE TERMS AND CONDITIONS OF THE AGREEMENT AND RELEASE.
67. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
69. Electronic Signature (parent/guardian must sign)*
Leave This Blank:


71. 1. Receive an email copy of this form.
72. Email address

    This field is not part of the form submission.

73. Submit

* indicates a required field