Volunteers: Minor Consent Submission of this form must be witnessed by a shelter volunteer. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Your Name (Parent and/or Legal Guardian) *FirstLastName of Child *FirstLastAge of Child *Address Where You Live (if different than child) *Address Line 1Address Line 2CityWashingtonAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeYour Mailing Address (if different than child's)Address Line 1Address Line 2CityWashingtonAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail (if different than child) *Home Phone (if different than child)Cell Phone (if different than child)I understand that children ages 10 - 17 require direct Parent/Guardian supervision during all volunteer activities at South Pacific County Humane Society (SPCHS) and I am required to volunteer side-by-side with my child. I understand that my signature on this form must be witnessed by a Shelter staff/volunteer. I give my consent for my child to volunteer at SPCHS and I understand that my, and my child's participation is strictly on a volunteer basis. My child, as a volunteer ambassador of SPCHS, understands that, while holding this position, s/he shall uphold the high standards of the organization and present it well to the community. By entering your name and date below, you are acknowledging your are the parent/legal guardian of this child and agree to uphold the requirements in this Consent and Release. *FirstLastDate / Time *DateTimePhoneSubmit
