Golden Retriever Freedom Rescue, Inc.

TRANSPORTATION VOLUNTEER APPLICATION

DATE:__________________________

FIRST NAME:_____________________ LAST NAME:_________________________

ADDRESS:______________________________________________

CITY:__________________ STATE:___________ ZIP:__________

HOME PHONE:___________________________ WORK PHONE:_______________________

CELL PHONE:____________________________ FAX NUMBER:_______________________

EMAIL ADDRESS:_______________________________________________________________

MAY WE CALL YOU AT WORK?________ WORK SCHEDULE:_____________________________

WHEN ARE YOU AVAILABLE TO TRANSPORT (WEEKDAYS, EVENINGS,

WEEKENDS, ETC)?___________________________________

TYPE OF VEHICLE:___________________________

DRIVER’S LICENSE NUMBER:____________________________

DO YOU HAVE A VALID DRIVER'S LICENSE AND STATE MINIMUM INSURANCE:_________

ARE YOU WILLING TO PICK UP FROM A SHELTER?________

HOW FAR WILL YOU DRIVE ROUND TRIP?_________________________

WILL YOU AGREE NOT TO BRING YOUR OWN DOG(S) ON A TRANSPORT?________

The undersigned (hereafter referred to as "the volunteer") has agreed to volunteer his/her services or facilities to Golden Retriever Freedom Rescue, Inc. (hereafter referred to as "GRFR"). The volunteer(s) acknowledges and understands that the dogs involved in GRFR's program may be untrained or unhealthy, and that GRFR makes no representations whatsoever regarding the dog's temperament, health (including the presence or absence of diseases transmissible to humans or other animals), age, ability, attitude or trainability.

The volunteer assumes all risks relating to working with GRFR dogs. The volunteer hereby releases GRFR, its officers, directors, members, participants, volunteers and affiliates ("GRFR Participants") from any and all claims, actions, liabilities, damages and costs of any kind ("claims and costs") arising out of the transportation, fostering or any other work or activity with any dog connected with GRFR. If anyone in the volunteer's household, or any business or social visitor to the household, makes a claim, the volunteer will indemnify, defend and hold GRFR and the GRFR Participants harmless from such claims and costs.

Applicant Name:_______________________ Signed:____________________ Date:_____________

CO-Applicant Name:____________________ Signed:____________________ Date:_____________

Return completed form and $20.00 annual membership fee to:
Golden Retriever Freedom Rescue, Inc.
Attn: Transportation Coordinator
P.O. Box 9628
Denver, CO 80209-0628

**Note** To become an active volunteer for Golden Retriever Freedom Rescue, Inc., a $20.00 annual membership fee
is required.

Golden Retriever Freedom Rescue, Inc.

Membership Form

Please accept my membership in GRFR for $20.00 annually.

Thank you so much for your membership/donation to GRFR! Because we are run 100% by volunteers, all proceeds will go to the needs of our Goldens.

I would also like to make an additional donation of: $_____________________

FIRST NAME:___________________ LAST NAME:______________________

ADDRESS:______________________________________________________

CITY:_____________________________________ STATE:_________ ZIP:______________

HOME PHONE:______________________ WORK PHONE:____________________

E-MAIL:______________________________________________

Golden Retriever Freedom Rescue, Inc. is 100% donor supported. All donations are greatly appreciated.

Please send your membership form, along with any additional donation, to the following address:

Golden Retriever Freedom Rescue, Inc.
PO Box 9628
Denver, CO 80209-0628

THANK YOU FOR YOUR HELP!