Name
Cell Phone
Home Phone
Mailing Address
City
State
Zip
Email Address
I agree that I am working and spending time at the Hop A Long Hollow as a non paid volunteer. I agree that I will not hold the Hop A Long Hollow, Inc. or its corporate officers/members responsible in any way for injuries, bites or any medical or emotional problems or financial costs incurred to treat those afore said situations that may be caused by contact with the Hollow or it’s residents. This covers any injury sustained while working on the premises or with the inhabitants of the Hop A Long Hollow.
I certify I am over the age of 18 years, or that I am the current full parent or guardian of the applicant and that I agree to these terms.
Signature
Signature Guardian
Date ...
Verification
Thank you for filling out the Volunteer Application Form.
