SCLRR: Volunteer Form

IMPORTANT: You will get an email message after filling out and submitting this form. You will need to print out that email message, sign it, and mail it in to the given address.

If for some reason you can't use this form, please call us at 888-554-ALAB to get in contact with us.

I am interested in volunteering for the Southern California Labrador Retriever Rescue organization (SCLRR).

My name and contact information are:

First name:
Last name:
Email address:

Home phone (include area code):	choose one 213 310 323 562 626 661 (LA) 714 805 818 858 909 949 - -
Best time to call:
Work phone (include area code):	choose one 213 310 323 562 626 661 (LA) 714 760 (Riverside) 805 818 858 909 949 - -
Best time to call:
Other phone: choose one Cell Phone Pager Number Voice Mail Second Phone	choose one 213 310 323 562 626 661 (LA) 714 760 (Riverside) 805 818 858 909 949 - -
Best time to call:
Fax (include area code):	choose one 213 310 323 562 626 661 (LA) 714 760 (Riverside) 805 818 858 909 949 - -
Cover letter for faxing needed? To whom?:

Home Address:
City:
Zipcode:
Mailing address: (If different from home address; leave blank otherwise.)
Where you heard about us:
Personal Reference (name):
Phone number (include area code):
I am over eighteen years of age:	Yes No
I understand that if I become a volunteer for SCLRR, I am representing a nonprofit organization when doing volunteer work for SCLRR.	Yes No
While I am carrying out volunteer work for SCLRR, I shall not engage in activities that are prohibited to a nonprofit, tax exempt organization.	Yes No
I shall not profit by my activities as an SCLRR volunteer.	Yes No
I shall not represent SCLRR in any type of political activity such as endorsing or condemning candidates for office or political initiatives. I understand that I may be held personally liable for any direct consequences of such misrepresentation.	Yes No
In addition, I hereby forever release, discharge, and agree to hold harmless and indemnify Southern California Labrador Retriever Rescue, In., its board of directors, officers, volunteers and agents from all claims, demands, actions, causes of action, or liability of any kind whatsoever arising as a result of doing volunteer work with SCLRR.	Yes No

Questionnaire

Will you travel to the following regions to volunteer? (check all that apply)

Areas of Interest

Check all that apply

What resources do you bring to SCLRR? (example: vet or vet tech, own a newspaper, own a copy store, run a kennel or pet store, work out of your home, work for a PR firm, previous experience with dogs, etc):

We apologize, but because of the proliferation of low-life should-be-shot-on-sight spammers, we have to make sure you're an actual person and not a soulless program. Please fill in the numbers or letters you see in the image below in order to proceed. Thanks.