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Date:
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Applicant Name:
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E-mail Address:
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Street Address:
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City, State, Zip Code:
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Home Phone:
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Cell Phone:
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Work Phone:
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May we contact you at work?
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Yes
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No
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When/Where is the best time to telephone you?
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Do you check your email regularly?
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Yes
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No
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Which areas are you interested in?
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Do you have any special skills that might benefit CSTMR?
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Do you have any experience with dogs?
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Yes
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No
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Why are you interested in volunteering with our organization?
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How many hours are in interested in volunteering?
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Co-applicant's Name:
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E-mail Address:
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The undersigned (hereafter referred to as “the volunteer” has agreed to volunteer his/her services or facilities to Colorado Shih Tzu, Maltese, and Lhasa Apso Rescue (hereafter referred to as “CSTMR”). The volunteer(s) acknowledges and understands that the dogs involved in CSTMR’s program may be untrained or unhealthy, and that CSTMR makes no representations whatsoever regarding the dog’s temperament, health (including the presence of transmittable diseases to humans or other animals), age, ability, attitude, or trainability.
The volunteer assumes all risks relating to working with CSTMR dogs. The volunteer hereby releases CSTMR, its directors, member participants, volunteers, and affiliates from any and all claims, actions, liabilities, damages, and costs of any kind arising out of the transportation, fostering, or any other work or activity with any dog connected with CSTMR. If anyone in the volunteer’s household, or any business or social visitor to the household, makes a claim the volunteer will indemnify, defend, and hold CSTMR and CSTMR participants harmless from such claims and costs.
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By typing in your name below, you are signing this electronic Foster Care Agreement.
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Applicant's Name:
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Date:
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Co-Applicant's Name:
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Date:
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Click on Submit button to send form
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Click on Reset button to clear form and start over
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