Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How did you hear about Paws Kept Safe Rescue? *

Instagram

Facebook

Search Engine

Friend

PKS Adopter or Volunteer

Other

Do you currently own dogs? *

Yes

No

Are all of the animals in your home spayed or neutered?

Yes

No

Please select all of the sizes listed below that you would be comfortable handling. *

Small - less than 15lbs

Medium - 15 - 40 lbs

Large - 40 - 60 lbs

X-Large - 60+ lbs

Select all of items listed below that you have experience with. *

Leash Reactivity

Fearful/Nervous Dogs

Medical or Special Needs Dogs

None of the Above

Do you have a valid driver's license? *

Yes

No

Do you have your own transportation with current insurance?

Yes

No

I can verify that I am18 years of age or older. *

I agree

I agree that I will be the only person handling any PKS animals and will always ensure the dog is safely secured and wearing a collar, PKS tag, and slip lead. *

I agree

I will let PKS know of any limitations I have in relation to volunteer opportunities. *

I agree