Membership Application Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneEmail* Co-Applicant Name First Last Optional InformationIf you are interested in volunteering in any of the following areas, please check and a GRROWLS member will contact you. Fostering Transport Home Visits (potential foster/adoptive homes) Evaluations Marketing/Fundraising/Event Planning Administrative Assistance Professional Services (veterinary &/or kenneling discounts, behavioral consulting, etc.) (check all that apply)If you would like to participate, but at a later date, please indicate the best date/time to contact you.Would you like to be notified of GRROWLS’ events, fundraisers or training opportunities?YesNoPlease indicate how you would like to be contactedPhoneEmailRegular MailWhat type of training or dog experience do you have (please explain)?May we contact you for advice within your occupation?YesNoWhat is your occupation?Because you have agreed to volunteer for one ore more of the above areas, please sign the agreement and certification below. The undersigned (hereafter referred to as “the volunteer”) has agreed to volunteer his/her services or facilities to Golden Retriever Rescue Operated With Love Statewide-NY, Inc. (hereafter referred to as “GRROWLS”). The volunteer(s) acknowledges and understands that the dogs involved in GRROWLS’ program may be untrained or in need of veterinary care, and that GRROWLS makes no representations whatsoever regarding the dog’s temperament, health (including the presence or absence of diseases transmissible to humans or to other animals), age, ability, attitude or trainability. The volunteer assumes all risks relating to working with the GRROWLS dog(s). The volunteer hereby releases GRROWLS, its officers, directors, participants, volunteers and affiliates from any and all claims, actions, liabilities, damages and costs of any kinds arising out of transportation, fostering, or any other work or activity with any dog connected with GRROWLS or a dog owned by a GRROWLS volunteer, excluding pre-approved reimbursable business expenses of those activities. If anyone in the volunteer’s household makes a claim, the volunteer will indemnify, defend, and hold GRROWLS and the GRROWLS participation harmless from such claims and costs.I agree to the above stated information* Yes No By checking "yes" here, you agree to the Agreement and Certification language preceeding.Opt In - Contact by GRROWLS* Yes No By checking "yes" here, you agree to be contacted by GRROWLS.Opt In - Mailing List* Yes No By checking "yes" here, you agree to added to GRROWLS' mailing list.Membership type*Single membership ($25/year)Family membership ($40/year) Alternatively a printable form is available here to download.