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Volunteer Application Form
 

Box 2126 Hanna, AB T0J 1P0   Ph: (403)854-3700   Email: info@hannaspca.com or hannaspca.com

 

Please Print Clearly:

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Date: ____________________

 

First Name: ______________________   Last Name: __________________________________

 

Address: Box # ___________________   City/Province: ________________________________

 

Home/Cell Phone: _________________________ Work Phone: _________________________

 

Email: ______________________________________________

 

Emergency Contact: ____________________________________

 

Home/Cell Phone: _________________________ Work Phone: ________________________

 

Do you have any medical conditions that could be aggravated by exposure to high concentration of animals? Yes ___ No ___

If yes, specify: ________________________________________________________________

____________________________________________________________________________

 

Do you belong to any other animal clubs/organizations/non-profit organizations?  Yes __ No__

 

Specify: ______________________________________________________________________

 

 

 

 

 

Do you have any pets? Yes __ No__

 

If yes, specify: _______________________________________________________________

___________________________________________________________________________

 

Are your pets adopted from the Hanna SPCA? Yes __ No__

 

If yes, specify: ______________________________________________________________

 

Why are you interested in volunteering for the Hanna SPCA?

____________________________________________________________________________

 

____________________________________________________________________________

 

Do you have any skills/training that you are willing to utilize for the Hanna SPCA (i.e. animal training skills, computer knowledge, artistic, salesmanship, media relations, etc.)? Yes __ No__

 

If yes please provide information: ________________________________________________

____________________________________________________________________________

____________________________________________________________________________

 

Are you a member of the Hanna SPCA? Yes__ No__

If not, are you interested in becoming one? Yes__ No__

 

What days of the week are you available to volunteer? Check all that apply:

 

Monday         ___          Morning  ____     Afternoon ____     Evening ____

Tuesday        ___          Morning  ____     Afternoon ____     Evening ____

Wednesday   ___          Morning  ____     Afternoon ____     Evening ____

Thursday       ___          Morning  ____     Afternoon ____     Evening ____

Friday           ___          Morning  ____     Afternoon ____     Evening ____

Saturday       ___          Morning  ____     Afternoon ____     Evening ____

Sunday         ___          Morning  ____     Afternoon ____     Evening ____

 

 

 

 

RELEASE AND INDEMNITY

OF THE

HANNA S.P.C.A.

(Hereinafter known as the Society)

 

The undersigned, in acting as a Volunteer for the Society, hereby releases the Society, its agents, officers, and servants of and from any and all liability, claims, demands, actions and causes of actions, whatsoever out of or relating to any loss, damage or injury that may be sustained by the undersigned or any of the property of the undersigned.

 

The undersigned hereby acknowledges the risk inherent in the handling of animals, domesticated or wild, and hereby willingly accepts all such risks.

 

This Release and Indemnity shall be binding upon the undersigned’s his/her heirs, executors, administrators they assign.

 

Dated the ___________________ day of _________________ A.D. 20_________

Name (Print): _______________________________________________________

Address: Box #: _____________ Street #:________________________________________________________

City/Town: ____________________________ Province: ____________ Postal Code: ____________________

Phone #: ______________________________ Cell #: _____________________________

 

 Volunteer Signature: ________________________________________________________________________

 

This document to be signed by all persons volunteering for the Society.

The information on this application is strictly confidential and will not be shared with anyone outside of the Hanna and District S.P.C.A. unless permission is granted by the applicant.

Please drop off completed form at:

 321 - 3rd Avenue East Hanna, Alberta

Mail to: Hanna S.P.C.A. Box 2126 Hanna, Alberta T0J 1P0 Email:  info@hannaspca.com