Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

MM

DD

YYYY

Phone

(###)

###

####

Do you correspond with text messaging? *

Yes

No

Have you ever been convicted of a misdemeanor or felony? *

Yes

No

Are you volunteering to complete a court ordered community service agreement? *

Yes

No

A liability release form must be signed before any volunteer work begins. Do you accept these terms? *

Yes

No

As part of our commitment to safety, Tiny Hooves Rescue, Inc will conduct a standard background check on all potential volunteers, which may include a criminal history review to ensure the suitability of the volunteer role. By signing this consent form, you authorize us to access and review your criminal background information from relevant databases. *

Yes

No

Digital Signature *

First Name

Last Name

Date

MM

DD

YYYY