Volunteer Application

Name *

First

Last

Are you 18 or older? *

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? *

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?

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

Website

About

Kennel License #MN145387

19665 US Hwy 59

218-847-0511

Tuesday - Friday: 12pm-6pm

Saturday: By Appointment

Sunday & Monday: Closed

Volunteer Application

About

Guidestar

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