Shelter Volunteer Health Risk Consent Form
Please complete this form to acknowledge and consent to the health risks associated with volunteering at the shelter.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Signature (Please sign to confirm your consent and understanding of the health risks involved in volunteering at the shelter.)
*
Date of Consent
*
-
Month
-
Day
Year
Date
Submit Consent
Submit Consent
Should be Empty: