How To Get Help
Pet Assistance Program
Adoption & Rescue
Temporary Adoption Application
Pet Adoption Application
Pet Volunteer Application
Love Your Neighbor Program
Pet Volunteer Application
KING'S HARVEST MINISTRIES SERVING THE POOR AND HOMELESS IN THE QUAD CITIES
Pet Rescue Volunteer Application
Address Line 2
State / Province / Region
ZIP / Postal Code
Do you own a vehicle?
Do you have any medical conditions/physical limitations that we should be aware of (seizures, etc)?
Emergency Contact Information
Availability and Interests
I am available to work at the Shelter (check all that apply)
I can work (check days available)
I like to work with:
Both Dogs & Cats
I have experience in the following areas/positions:
General Handy Person
Web Page Designer
Check all that apply
I am interested in doing the following:
Taking cats to the vet
Cleaning litter boxes
Taking dogs to the vet
Pet Food Giveaway
Answering the phones
Doing shelter laundry
Shopping for supplies
Giving medications to dogs/cats
General cleaning chores
Doing small handyman repairs
Trapping feral cats
Helping organize special events/fundraising projects
I am interested in working during shelter open hours
I am willing to do anything that needs to be done, just ask!
Check all that apply.
This section must be completed by an individual 18 years or older. If the volunteer is under 18, please have a parent or legal guardian complete this portion of the form.
I, the volunteer, am under the age of 18, a parent or legal guardian is completing this section.
Yes, I am under the age of 18
I am 18 years or older
I agree to conform to King's Harvest Pet Rescue policies and procedures.
I also agree to participate in training as required by my assignment.
I understand that my failure to follow King's Harvest Pet Rescue's policies and procedures may result in the termination of my service from King's Harvest Pet Rescue's volunteer program.
As a volunteer or the parent/legal guardian of a minor working in the capacity of a volunteer at Kings Harvest Pet Rescue, I do hereby release from any liability or responsibility concerning an injury, illness, or death caused by any animal, or event that is connected to the Kings Harvest Pet Rescue in any way, weather it would be on Kings Harvest Pet Rescue's property or elsewhere.
I do not agree
Electronic Signature of applicant 18 years or older or parent/guardian
By checking the "I agree" box above and typing your name here, you are agreeing to the King's Harvest Pet Rescue Volunteer Agreement.
Guardian's Phone (Day)
Guardian Phone (Evening)
Guardian Phone (Cell)
Yes, sign me up for updates
No, I do not wish to be added to your mailing list