I am the legal parent/guardian of a child under the age of 18 and I am filling out this form for the child for the child in my care. *

Yes

No, I'm over the age of 18 and filling this out for myself

Legal Name (Adult or Parent/Guardian) *

As shown on your ID. If you are a parent or guardian filling out the form for your child, please put your name here.

First Name

Last Name

Legal Name (minor)

If you are a parent/guardian filling out this form for your child, please put their name here.

First Name

Last Name

Preferred Name

What you'd like to be called. If you're a parent/guardian filling this out for their child, please put their preferred name here.

First Name

Last Name

Phone *

(###)

###

####

Have you ever been charged with any animal related crimes? *

Animal Abuse, Neglect, Animal Fighting, Abandonment, Bestiality or any other crimes related to animals. If you are an adult filling this out for a child in your care, answer for the child, not for yourself.

Yes

No

What positions are you interested in? *

Select all that you'd be interested in

Morning Shop Cleaning (9am-11am Tue-Sat))

Evening Shop Cleaning (3pm-5pm Tue-Sat)

How soon would you be available to start? *

MM

DD

YYYY

Do you need proof of volunteer hours with us? *

School, Court ordered community service, or other organization requiring proof of volunteer hours.

Yes

No