| First Name: |
|
| Last Name: |
|
| Address: |
|
| City: |
|
| State: |
|
| Zip Code: |
|
| Phone Number: |
|
| Work Phone: |
|
| Age: |
|
| Company: |
|
| How Did You Hear About Us? |
|
| I Am Interested In Working With The Dogs |
| I Am Interested In Becoming A Volunteer Trainer. |
|
| I would Like To Take The Dogs For Fun Walks. |
|
| I would Like To Babysit Puppies While Fosters Are On Vacation. |
|
| I Am Interested In Helping With Public
Relations |
| I Am Interested In Being On The Public Relations Committee. |
|
| I Would Like To Help The PR Committee With Upcoming Events. |
|
| I Would Enjoy Doing Presentations. |
|
| I Am Willing To Do Presentations At (Check All That Apply): |
| Clubs
|
Schools
|
| Churches/Synagogues
|
Hospitals
|
| Local Businesses
|
|
| I Am Interested In Helping With Fund
Raising |
| I Am Interested In Being On The Fund Raising Committee. |
|
| I Would Like To Help The FR Committee With Upcoming Events. |
|
| Do You Know Of Any Businesses That Might Be Willing To Donate Merchandise Or Services For Special Events? |
|
| I Am Interested In Helping With Office
Duties |
| Computer Mailings. |
|
| I Am Interested In Helping With
Recruiting/Coordinating |
| Recruiting/Coordinating Volunteers. |
|
| Recruiting/Coordinating Puppy Homes. |
|
| Recruiting/Coordinating Pet Adoption Homes |
|
| Recruiting/Coordinating For Projects. |
|
| Email Address: |
|
| Additional Comments: |
|
|
Release And Disclaimer
I/We, release The Gift of Sunshine, Inc., its Directors and members, from any
and all liability for injuries or damages sustained by me/us as a result of
my/our activities with The Gift of Sunshine, Inc. I am aware of the possible
danger associated with these activities, and I/We, will take full
responsibility for any accidents or injuries that may occur to me/us. I/We,
further agree to indemnify and hold harmless The Gift of Sunshine, Inc. for any
and all claims or demands made against it by reason of any action I/We might
take.
|
|
My typed name below shall have the same force and effect as my written
signature.
Signed:
|
|
| |
|