MOSTLY BEAGLES

Volunteer Form and General Release


Name:

Age:  If under 18, parent or guardian must sign this form.


Email:


Address:   City:
State:   Zip:
 

Please include area code with all phone numbers listed:

Home Phone 

Work Phone   

Cell Phones:       or     

What is the best time to reach you by phone and at which number?

 

 

Volunteers are needed to provide foster care for dogs

to provide a safe haven until they are adopted

Please complete this section if you are interested in providing a foster home.

All dogs need socialization, playtime, bath-grooming, medical attention. 

All medication, vaccines and vet care will be provided by Mostly Beagles.  All dogs are spayed/neutered, current on vaccines, wormed, heartworm tested, given Frontline for flea/tick protection, and are on heartworm prevention prior to adoption. 

Mostly Beagles will provide the pet’s food if requested.

Are you interested in fostering a special needs pet?

How many hours a day will you be able to spend with a foster dog?  

List below any pets you currently own:

Name      Type/Breed   Age     Spayed or Neutered?   Up_to_Date on Vaccinations?   On HeartwormPreventative?

                                                            

What brand(s) and type(s) of food do you feed your pet(s)? 

Do you have a fenced in yard? If so, please describe the type of fence.

Please list contact information for a veterinarian that you have used before.   Vet references are checked. 

DO YOU APPROVE OF THIS VETERINARIAN BEING CONTACTED FOR A REFERENCE CHECK? 

Vet Name: 

Vet Phone Number (include area code):

Name under which your records will be listed: 

 

Volunteers are needed

to help at adoption days, fundraisers, and other special events.

Please complete this section if you are interested in helping in this manner.

We are looking for volunteers to help load, unload and transport the dogs to and from the adoption days, fundraisers and special events.  Set-up and tear-down of the event site help is also needed. 

What days are you available to help?    

Do you own a vehicle with cargo capacity that you are willing to use for transporting dogs?

Do you have an special skills such as computer skills, foreign language, pet grooming, dog obedience training, or other?   

PLEASE READ THE FOLLOWING STATEMENT CAREFULLY!

 I, the undersigned, individually and/or as a parent/guardian of the below listed name, do personally and on the behalf of a minor, assume all risks and hazards incidental to such activities.

I, the below named Volunteer, understand that Mostly Beagles. and its representatives have limited information regarding the temperament and habits of the dogs under its care and ownership. As a volunteer for Mostly Beagles I agree to take all reasonable precautions (through the use of crates, leashes, supervision, and common sense) to ensure that the dog does not run loose, become a nuisance, destroy property, injure or be injured by another dog, be injured by any person, or injure me or another person. 

By becoming a Volunteer, I hereby waive, release, discharge, and hold harmless Mostly Beagles and its agents, employees, directors, representatives and other volunteers charged or chargeable with liability, their heirs, administrators, executors, successors, and assigns, from any and all claims, damages, costs, expenses, loss of services, actions, and causes of actions, whether known or unknown, belonging to me, my agents and assigns, due to any action or occurrence or damage which arises in connection with my volunteer activities, including, but not limited to dog bites to me by a Mostly Beagles dog.  Furthermore, I agree to pay Mostly Beagles any and all expenses, including court costs and reasonable attorney fees, incurred in enforcing the terms and provisions of this agreement.

The UNDERSIGNED hereby acknowledges having read this Waiver and does hereby agree to abide to its terms as set forth above.

 Signature (type name here if completing online, parent or guardian if applicant is under 18 years of age):

If signing for minor, please state relationship to the minor:

Date: 

Please return this application by pressing the Submit button, or you may print it and mail it to:

Mostly Beagles

6229 HWY 305 Suite O

Olive Branch, MS  38654