Volunteer Mail Form

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Humane Society of Charles County, Maryland

P.O. Box 1015 Waldorf, MD 20604-1015
Phone: 301 645-8181

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Send Us Your Enrollment Form
See Information On Volunteering

If you would like to volunteer please let us know! We're waiting to hear from you! We're looking for volunteers for many different kinds of work and activities. You can let us know on this form, or we'll ask you where you would like to pitch in. Also, you can give us a call at (301) 645-8181 after 11am (after 1pm on Thursdays). Use the form below to ask a question or forward information. Once you have finished the form below, just click the submit button at the bottom of the page. We'll get back to you as soon as possible. Thanks for thinking of the animals!

Name
First:

MI:

Last:

Mailing Address:

City, State, Zip:

Primary Phone:

Alternate Phone (optional):

Email Address:

Best Time and Method of Contact:

Emergency Contact

Name:

Ph. Number:

Alternate Ph. Number:

Are you 18 years of age?
Yes No

If no, please provide date of birth
(written parent/guardian permission required of all
junior volunteers)

Would you be willing to commit of a certain number of hours per week or month?
Yes No

Would you be willing to commit to a regular schedule, so we can count on you being there?
Yes No

When would you be available to start?

What days and times are you most likely to be available? Please fill in times for morning, afternoon or evening.

	MON	TUES	WED	THURS	FRI	SAT	SUN
MORNING
AFTERNOON
EVENING

Additional Information, Comments or Questions:

Signature: (if filling out online, you will
be asked to sign upon your first visit)

Date:

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