218-847-0511
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Volunteer Application
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Name
*
First
Last
Are you 18 or older?
*
Yes
No
Address (Including City/Zip)
*
Primary Phone
*
Email
*
Emergency Contact Person
*
First
Last
Emergency Contact Phone
*
Do you suffer from any medical restrictions that would prohibit you from performing the functions of this position?
*
Have you had a tetanus shot within the past seven years?
*
Yes
No
If yes, please list the date:
Previous Volunteer Experience:
*
How often would you like to volunteer & which days/hours would you be avilable?:
Would you be available for weekends/holidays?
Yes
No
Please list which ones:
Volunteers Initials:
*
I hereby authorize the Humane Society of the Lakes (HSL) to seek emergency medical treatment in case of accident, injury or illness. By participating in the HSL volunteer program, I agree to hold harmless the Humane Society of the Lakes and any employee and/or member of the Board of Trustees of said agency from any liability arising in conjunction with my participation in a HSL volunteer program.
Parent Initials (Required for volunteers under 18 years of age):
ONLY CHILDREN AGE 12 AND OVER MAY VOLUNTEER FOR HUMANE SOCIETY TASKS
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Kennel License #MN145387
19665 US Hwy 59
218-847-0511
Tuesday - Friday: 12pm-6pm
Saturday: By Appointment
Sunday & Monday: Closed
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