Mendocino Coast Humane Society   

Adoption Center Volunteer Application

M C H S Shelter Volunteer Application

The content of this form is held in strictest confidence

best phones:
We really need an email address so we can communicate with you.
We will never share your email address!
May we send you email updates:  Yes    No thank you
I am over 18 years of age Yes    No

Volunteer Activities

Training will be provided for all of these volunteer jobs.
Cat Socializer (Playing, Petting and Grooming)
Dog Walker / Trainer / Groomer
Receptionist / Front Desk
Gardening / Grounds Maintenance
Handyperson / Building Maintenance & Repair
Other specialized talents that could be of use at the Shelter
         (Mechanic, Electrician, Plumber, Photographer — please list in notes, below)
If you have any medical conditions we should be aware of,
please describe in the notes, above.
Current on Tetanus shot?  Yes    No
If No, will you sign a Tetatnus Waiver?  Yes    No
Licensed and insured driver?  Yes    No

Emergency Contact

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Second Emergency Contact

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Mendocino Coast Humane Society

Adoption Center
19691 Summers Lane

Ark Thrift Shop
18274 Highway One

Fort Bragg, California 95437


at the Round-about

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