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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
name:  
address:

       
best phones:
email:
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)
notes:
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

name:   
best phones:

Second Emergency Contact

name:   
best phones:


Mendocino Coast Humane Society

Adoption Center
19691 Summers Lane

Ark Thrift Shop
18274 Highway One

Fort Bragg, California 95437

707.964.SPAY

964-7729
at the Round-about
707.961.0365
      




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