DocThank you for volunteering your services to Southeast Rescue! Both for insurance and reference purposes, it would help us if you could provide the following information. We appreciate your time and will contact you shortly. Fields marked with * are required. Thanks, and welcome!

If you have problems with this form please CONTACT OUR WEBMASTER.


ABOUT YOU
*Email
*Name
*Address
*City
*State [why only these states?]
*ZIP
*Primary Phone Secondary Phone
Best time to call daytime
evening
anytime
GSPCA Membership # (not required)
How long with the breed?
Experience with GSPs:
Other breeds you have, or have experience with:
Please list your breed and all-breed club memberships:
Do you currently own any GSPs? Yes
No
If so, please list gender, age and spay/neuter status of each GSP:
Other companion animals in your household? Yes No
If so, please list other pets (cat, bird, small animal, etc)

FOSTERING
Are you willing to foster needy GSPs? Yes No
How many: Male Female Either
How long?
Containment available:

*Please describe your yard
(size of fenced area, fence type/height, etc.)

Crate sizes/types:

OTHER VOLUNTEER SERVICES
Will transport dogs Yes No
How far?
Will support a dog through vet care [what exactly does this mean?] Yes No
Will offer owner counseling Yes No
Will offer training Yes No
What type of training can you offer (socialization, obedience, behavior modification, etc)
Will screen prospective adopters Yes No
Will visit shelters/pounds Yes No
Will ID GSPs in person (owner surrender, shelters, etc) Yes No
Will transport GSP to/from vet Yes No
Will provide food for one or more dogs Yes No
Will fund an ad, do fundraising, or assist with fundraising events Yes No
Will bathe and groom dogs Yes No
Will visit shelters and pounds to provide modest training and socializing Yes No
Will help with phone chain, email networking, Facebook networking Yes No
Will provide clerical help to your regional volunteer Yes No
Can provide these other services:

OTHER INFO
Have you been in contact with a volunteer from SE GSP Rescue? If so, list:
How did you hear about us?
Comments or anything else you'd like us to know?

LEGAL STUFF

Please read the following and be sure you understand the following terms of this agreement.

I understand that it is my decision whether or not to foster any particular dog. I will not hold Southeast GSP Rescue, GSPCA Rescue or GSPCA responsible for any damage, injury or harm caused directly or indirectly by any dog I handle as a volunteer for any rescue program.

I understand that it is not the policy of Southeast GSP Rescue to reimburse costs in the rescue of dogs in any locality. I understand that I will get any expenses pre-approved prior to incurring the expense. I will not bring suit against Southeast GSP Rescue, GSPCA Rescue or GSPCA, its agents, volunteers, their heirs or estates in case of financial or other loss resulting from my activities as a rescue volunteer.

* I understand and accept these terms

*Signature (type your name) Date

|