VOLUNTEER INFORMATION FIRST NAME:
LAST NAME:
HOME ADDRESS: CITY, STATE:
ZIP:
MAJOR CROSS-STREETS: HOME PHONE:
WORK PHONE:
CELL PHONE:
FAX:
EMAIL: (AZBR emails can be received at this address)
Do you share your home with a beagle(s)? Any AZBR alumnae/alumni in your home? Additional companion animals in your home?
No No No
Yes Yes Yes
Name(s): Name(s):
Name:
Name:
Name:
Species
Species:
Species
Breed: Altered:
Breed:
_____________ No
Yes
Altered:
_____________ No
Yes
Breed:: Altered:
_______________ No
Yes
HOW DID YOU HEAR OF AZBR? Another Rescue Group or Organization / Name: AZBR Website
Adoption Fair/Animal Rescue Event
Friend/Coworker
Yahoo! Group
TV or Radio Feature
Article
Flier
Volunteer Center of Maricopa County
Website link (site name/URL): Other (please explain):
P LEASE INDICATE THE CATEGORIES WITH WHICH YOU CAN HELP : FOSTER CARE (area of greatest need; application & home visit must first be completed) Home Visits (at least 2 observations should first be completed) County Shelter Checks (evaluations & assessment summaries of overall health & temperament; orientation must be completed) Events (e.g. BeagleFest, PACC911 Adopt-a-Thons, Petco Socials, Bowl-A-Rama for Animal Rescue) Kennel Crew (provide walks &/or socialization for beagles while in temporary boarding) Fundraising (e.g. Retail Charitable programs; merchandise & rummage sales; Gift wrapping at Christmas) Creating or Baking (items to sell at events; e.g. beagle calendar, bandanas, beagle note cards, etc.) Graphic Design/Creative Services (e.g. forms, fliers, invitations, etc.) Clerical (T-you letters)
Grant Writing/Applications
Playdates (hosting at current/new spots)
Community Relations
Photography
Transports
Donations (e.g. Canine equipment: food, bowls, collars, leashes, blankets, crates, beds, grooming supplies, flea/tick/heartworm preventatives; Other: digital camera, disposable cameras, raffle items, beagle note cards, baked goods, etc.) Describe:
Mail: PO Box 61193 | Phoenix, AZ 85082-1193 Voice Mail and Fax: (623) 977-1355 Email:
[email protected] Website: www.azbeaglerescue.com Rev: 09/13
AZBR VOLUNTEER SIGNATURE FORM This form must be completed, signed* & mailed to AZBR (PO Box 61193, Phoenix, AZ 85082-1193) prior to beginning volunteer work. FIRST NAME:
LAST NAME:
ADDRESS: CITY, STATE:
ZIP:
HOME PHONE:
WORK PHONE:
CELL PHONE: EMAIL: (AZBR emails can be received at this address)
I will be acting on a volunteer basis for Arizona Beagle Rescue, Inc. (AZBR). I agree to hold harmless AZBR, its members, officers, directors, and representatives on demand from any and all loss, costs, damage, liability, and expense of every kind and description, including, but not limited to attorneys' fees and litigation expenses, that may be incurred, directly or indirectly, by me while acting in a volunteer capacity for AZBR.
Volunteer Name (please print)
Date:
Volunteer Signature: Parent or Guardian’s Signature (If under 18 years old):
*Each person in a given household, who plans to volunteer, should submit a Volunteer Signature Form by mail.
Mail: PO Box 61193 | Phoenix, AZ 85082-1193 Voice Mail and Fax: (623) 977-1355 Email:
[email protected] Website: www.azbeaglerescue.com Rev: 09/13
