VOLUNTEER REGISTRATION SHS Volunteer Registration Form Thank you for your interest in volunteering your time to help our community's animals. After we receive your completed application, we will contact you and set up an orientation and training session, which is the next step toward becoming an SHS Volunteer! Please note if you are going to donate online or submit your registration fee in person. Name* First Last Date* T-Shirt size*SmallMediumLargeX-LargeXX-LargeAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Email* Age?*Do you have any medical conditions or allergies that we should know of?*Are you volunteering as a requirement (i.e. court ordered, college credit, etc.)?*YesNoWhy would you like to volunteer at the SHS?*If yes, please describe the requirementsWhat would you most like to do? Examples: Work with cats or dogs, clerical, fundraising, etc.*Do you have a special skill or trade that may help the SHS?*YesNoIf yes, please describe it.Do you understand that due to pet overpopulation in Spartanburg, the SHS must perform humane euthanasia?*YesNoHave you ever been convicted of a felony?*YesNoIf yes, please describe it.Highest level of education*High SchoolGEDVocational SchoolCollege DegreeGraduate DegreeName of School (if applicable)Employment Status*EmployedUnemployedPart TimeName of Employer (if applicable)I Would Like To Receive E-mail News From The SHS In The Future!*YesNoDo you wish to make your volunteer donation online or in person?*OnlineIn PersonVolunteer's Agreement:I recognize that in handling animals at the Spartanburg Humane Society in a volunteer capacity, there exists a risk of injury including physical harm. On behalf of myself, my heirs, and personal representatives, I hereby release, discharge, indemnify, and hold harmless the SHS, its Board of Directors, agents, servants, and employees from any and all claims, causes of action or demands of any nature or cause connected with my volunteer services. This might include costs, attorney's fees, and court costs incurred by the SHS in connection with my volunteer services based on damages or injuries, which may be incurred or sustained by me in some way. Such demands or injuries might include, but are not limited to, animal bites, accidents, injuries or personal property damage. If I am signing the release form as a parent or legal guardian of a minor volunteer, I hereby give my consent to allow my child/ward volunteer services at the SHS. I understand that such minor is not covered by the agency's Workers' Compensation or Liability Policy and I agree to hold the SHS harmless for any claim, loss, or damage incurred by such child/ward. By submitting this form, I agree that I have read and fully understand the terms and conditions of the foregoing liability release waiver.* Yes Notes? | Comments? | Questions?Would you like to make you Volunteer Donation on-line or in person?*OnlineIn PersonVolunteer Donation Price: $20.00 Quantity: The Volunteer Donation covers all cost for t-shirt and volunteer materials.Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name Total $0.00 NameThis field is for validation purposes and should be left unchanged.