Volunteer form - Humane Society of The Palouse

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HUMANE SOCIETY OF THE PALOUSE
VOLUNTEER QUESTIONAIRE
If you are under 18 you must have a parent or guardian present to fill out the volunteer form
DATE: ________________
NAME: _____________________________________________________
ADDRESS: _________________________________________________
PHONE #: __________________________________________________
EMAIL: ____________________________________________________
AGE GROUP



12-15 You can come in for 1 hour each day to socialize cats only.
16-17 You can come in for 1 hour each day to socialize with cats and dogs in their kennels. No dog walking without
a parent or guardian over the age of 18
18+ You can socialize with cats and walk dogs.
I WOULD LIKE TO: (PLEASE CHECK ALL THAT APPLY)
 HELP AT THE SHELTER WITH CLEANING (9 AM TO NOON)
 HELP WITH SOCIALIZING ANIMALS (1:00 TO 6:00 PM)
 WALK DOGS
 HELP THE BOARD OF DIRECTORS WITH FUNDRAISERS
ALL VOLUNTEERS NEED TO FOLLOW ALL WRITTEN AND VERBAL INSTRUCTIONS PROVIDED BY EMPLOYEES. IF YOU FAIL TO DO SO
YOU WILL BE ASKED TO LEAVE AND CANNOT RETURN.
CAT SOCIALIZING GUIDELINES:
1.)
2.)
3.)
4.)
5.)
Please use the hand sanitizer before and in-between petting the cats.
Please do not place cats on the floor, if you have a cat out please pay full attention to them.
Please do not take cats from the kennels into the cat-rooms.
Please do not hold cats from the kennels up close to other cats.
Please do not take kittens out from separate kennels and have them interact with each other
BY SIGNING THIS FORM I ACCEPT PERSONAL RISK OF INJURY INCLUDING BITES, SCRATCHES, TORN CLOTHING, AND EXPOSURE TO
ZOONOTIC DISEASES SUCH AS BUT NOT LIMITED TO FUNGAL INFECTIONS.
____________________________________________
SIGNATURE
___________________________
DATE
DOG SOCIALIZING GUIDELINES:
1.) Please do not enter ANY kennel without permission from staff first. We will be happy to come out and unlock the kennel
for you.
2.) Please do not let another person into a kennel staff has unlocked for you. If they would like to socialize with the dog as you
are leaving please instruct them to talk with staff first.
3.) Please lock the padlock when leaving a kennel.
4.) Please only one volunteer in a kennel at a time.
5.) If a dog is barking and showing signs of discomfort please move on to another dog.
6.) Please do not stick your hands or fingers in ANY cage without speaking with staff first.
7.) Please read all signage before entering through any door or gate.
8.) PLEASE CLOSE ALL DOORS BEHIND YOURSELF
9.) Please do not engage in “TUG OF WAR” play style with our dogs.
BY SIGNING THIS FORM I ACCEPT PERSONAL RISK OF INJURY INCLUDING BITES, SCRATCHES, TORN CLOTHING, AND EXPOSURE TO
ZOONOTIC DISEASES SUCH AS BUT NOT LIMITED TO FUNGAL INFECTIONS.
____________________________________________
SIGNATURE
______________________________
DATE
DOG WALKING
In order to walk a dog from the Humane Society of the Palouse, you must read and initial the following. If you do not understand
fully the information please have a staff member further explain.
____ I acknowledge that I may only take dogs out of the same kennel. I won’t take one
dog from kennel and a dog from a separate kennel and walk them together.
____ I will not open the gate to any kennel while other gates are open. Or while any dogs
are coming in or going out for walks.
____ I acknowledge that dogs from the shelter may not go to Dog Park.
____ I agree to pick up after the dog I am walking. There are “poo bags” at the front
desk to take along.
____ I will take the dog out for thirty minutes to one hour. Anything less and the
dogs do not benefit.
____ If I would like to do ANY obedience training such as heel, sit, stay I will get
instructions from a staff member as to how to train. Even if I feel that my training
techniques are adequate, I will tell the staff how I plan to train.
____ I will not let the dog meet any other dogs while walking.
____ I will refrain from talking on my cell phone and focus on the dog I am walking.
____ I will only cross the roads by using cross walks.
____ I will never hand the dog over to another party, unless they are part of the shelter
staff.
____ If you are actually reading this, do not initial this line, leave it blank.
____I will wear suitable closed toe shoes. NO FLIP FLOPS!
___ I understand that the GREEN ACRES (Bristol road) housing development is privately owned and if you walk a dog in that area
you will have trespassing charges filed against you.
I understand what I have agreed to. If I fail to follow any of the above instructions I know that I will not be able to walk dogs for
HSOP in the future. We reserve the right to deny your volunteering privileges should we feel it necessary for any reason.
Sign:_________________________________________
Date_____________________
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