Azalea City Cat Coalition

Volunteer request

A little time makes a big difference. Tell us how you would like to help and when you are available.

Before you begin

Your contact details and an emergency contact
Your interests, availability, and preferred start date
A parent or guardian signature if you are under 19

Fields marked * are required. Your answers are only available to authorized staff. We will email a receipt when your request is received.

1. About you

Name *

Email *

Date *

Date of birth *

Address *

Town or city *

State *

ZIP code *

Cellphone *

2. Emergency contact

Emergency contact name *

Relationship *

Emergency contact address *

Emergency contact phone *

3. How you can help

Are you fulfilling a school community service requirement? *

Do you have pets? *

Are your pets spayed or neutered? *

How did you hear about ACCC, and why do you want to volunteer? *

How would you like to help out? *

Areas that interest you *

Times you are available to volunteer *

Start date *

Other talents, interests, or ideas you would like to share

4. Release from liability

I have a desire to do volunteer work with the Azalea City Cat Coalition. In such capacity, it is my understanding that I will come in contact with cats. I fully realize it is entirely possible that such close contact with these animals could result in injury to my person (body and/or clothing). I may be bitten or scratched, clothing may be torn, etc. Assuming that the foregoing could occur (though not necessarily limited to the foregoing), I hereby agree not to hold the ACC, its agents and any other volunteers, or successors or assigns of said corporation, liable for any injuries or damage incurred while performing volunteer work. I also acknowledge that in working as a volunteer, I may be exposed to hazardous materials used for cleaning. I acknowledge that I have read the foregoing and have discussed it with a representative of the Azalea City Cat Coalition (ACC) and understand that this is a release of liability against this organization, its agents and volunteers, as well as any successors or assigns of said corporation.

I have read and acknowledge the release from liability above. *

Signature (type your full name) *

Parent or guardian signature (required for volunteers under 19)

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