Contact Information 2
First name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Email Address:
Demographics
You may optionally provide the following information. We do need your DOB to qualify your eligibility. The other information is used only to help us get a better idea of the demographic make-up of our day trip participants.
Date Of Birth:
Skills & Experience
Please list all pertinent skills and experience and any other pertinent information we should consider when reviewing your form:
Availability
Please indicate the days you are usually available to chaperone.
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Please list any specific dates you'd like to be considered for a Doggy Day Trip:
Dog Size Preference
The following types of dogs may be available. Please select your top 3 preferences.
Assignment Preference:
Emergency Contact
In the event of an emergency whom should we notify?
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Relationship:
I Agree
I understand and agree that submitting this application form does not automatically register me as a Oahu SPCA Doggy Day Trip participant, and that there may be certain qualifications I must meet, including theacceptance of established volunteer policies and procedures before I begin participating. By submitting this form, I attest that the information I have provided on the form is true and accurate.
I understand: