Kootenai Pets for Life Volunteer Application             125 County Shop Road, P.O.Box 1454, Libby, MT 59923 (406)-293-5735(kpfl)  Kootenaipetsforlife@yahoo.com

Name: 

Address:

Home Phone:  Work Phone:     E-mail:

Position(s) applied for:  Shelter worker,  Office worker,  Board,  Committee,  Foster Home

Other  

 When are you available? Full Time Yes, No,   Hours   Days M T W  Th  F   Sa Su

 Experience:

 References (Please give 2 with phone numbers where they can be reached)

I certify the answers given herein are true and complete. I authorize investigation of all statements contained in this application if necessary. I understand that I am required to abide by all rules and regulations of Kootenai Pets for Life.

Volunteer Signature                                                                                           Date

 KOOTENAI PETS FOR LIFE WAIVER

 I    do hereby release Kootenai Pets for Life of any liability while volunteering at the shelter.

I further understand that I will be working around and with animals, and realize that accidents, unpredictable, behavior, viruses, and disease is possible.

I further understand that I will be working around and with animals, and realize that accidents, unpredictable, behavior, viruses, and disease is possible.

I have read and understand the KPFL Safety Policies and Procedures.

Volunteer Signature                                                                                              Date

If volunteer is under 18 years of age the signature of parent/guardian is required.

Volunteer Signature                                                                                              Date