First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone
Cell Phone
Alt Email
Do you text. May we contact you via text at listed number?
What is your occupation*
What is your age*
Do you currently own any dogs? If so, please list their name, age, and breed
Do you currently own any cats? If so, please list their names and ages
Please list the names and types of each dog you have owned in the last 5 years and what happened to them
Please list the names of all cats you have owned in the last 5 years and what happened to them
Do you have a family veterinarian?
Please list the name and telephone number of your veterinarian.
List the name of the person (owner) vet records will be listed under:
What kind of volunteer work are you interested in doing? Check all that apply:
If fund raising or other, please explain:
What days of the week and hours are you available?
Why would you like to volunteer for Rose's Rescue?
Additional questions or comments:
Rose’s Rescue is not responsible for personal or property damages to foster and volunteers. I certify that the information entered on this application is true and accurate to the best of my knowledge, and that Rose's Rescue is not held liable for any damages Enter your name and date: *
