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TCPL Adult Volunteer Application

2. Today's Date*
   Today's Date

3. Full Legal Name*

5. Address*

7. City*

8. State*

9. Zip Code*

11. Primary Phone*

12. Secondary Phone

13. Date of Birth*
    Date of Birth

15. Email Address*

16. Drivers License #*

17. State of Drivers License*

21. References/Emergency Contacts

23. Name*

24. Phone #*

26. Name*

27. Phone #*

29. Name*

30. Phone #*

34. 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

36. What days are you available?*

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday

37. What time of day?*

    1. Morning
    2. Afternoon
    3. Evening

38. Are you available for weekend offsite events?*

    1. Yes
    2. No

39. Which do you prefer to work with?*

    1. Cats
    2. Dogs
    3. Both

41. Why do you want to volunteer with The Colony Animal Services?*

43. List any animal experience:

47. 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.

    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.

49. 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.

51. I HAVE READ AND UNDERSTAND THE TERMS AND CONDITIONS OF THE AGREEMENT AND RELEASE.

53. 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.
55. Electronic Signature*

Leave This Blank:


56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field