Retrieve a Golden of Minnesota

Volunteer Application

Name:
Address:
City:
State:
Zip:
Home phone:
Cell phone:
Work phone:

I am 18 years old or older.
I am under 18 years old.

The best time to reach me is:
E-Mail:

I am interested in helping in the following areas:

Foster Care	Website	Transport
Events and Activities	Home Visits	Grant Writing
Fundraising	Foster Support (includes such things as vet visit transport, dog sitter, short-term foster, etc.) You need to be available during the weekday.

I would like to volunteer with RAGOM because:

I have education or special talent in the following areas:

Other Information you'd like to share with us:

If volunteering for Foster Care and/or Transport, please complete the following section:

(Transport volunteers occasionally keep dogs overnight in their homes.)

Type of dwelling: House Townhouse Apartment Other

If rental unit, we will need a letter from the landlord granting authority to foster a rescued dog on the property.

Do you have a fenced yard? Yes No

If yes, Type: Height: Size:

Other residents in your household and their ages:

Number of hours dog will be left alone during the day:

Other Pets (species, breed, sex, spayed/neutered, age)

Please tell us about your experience with animals. Tell us about your abilities, what you have accomplished with your own dogs, classes you have taken or special programs in which you have been involved:

Anything else you would like us to know about the type of dog you would like to foster or other pertinent information you wish us to know about your family or your situation.

I am interested in fostering the following types of dogs:

No preference Dogs with special medical needs Senior Dogs

Dogs over age 3 Dogs under age 3

Do you have a veterinarian that you prefer to work with? Yes No

If yes, please provide name, address and phone number of the clinic.

Foster Volunteers: After you have completed Foster Training, we will schedule a home visit.

Release and Hold Harmless:

I fully understand and agree to assume all risks involved in any and all activities, tasks or duties that I perform for Retrieve A Golden of Minnesota, Inc. ("RAGOM") in my volunteer capacity. I also understand that the behavior of domestic animals may be unpredictable. I know that domestic animals are capable of inflicting serious personal injury or death, as well as extensive property damage. Knowing the risk of handling domestic animals, I agree to assume those risks and to release, discharge and hold harmless RAGOM, its volunteers, agents, officers and directors, and its or their successors, from any and all liability, claims and damages arising out of or as a consequence of, any injury or damages that may result to me or members of my household from any activity connected with volunteer activities for RAGOM.

I agree to the above terms