First Name*
Last Name*
Address
City
State/Province
Zip/Postal Code -
Email*
Home Phone
Work Phone x
Cell Phone
Alt Email
Text/Pager Email
Occupation:*
Employer's Name:*
Spouse Name:
Spouse Work Phone:
Spouse Cell Phone:
Spouse Email
Please list the name of your Subdivision:
Please list any major cross streets close to your home:
What area of town are you in?(Greater Houston Area Residents)
What is the best way to contact you?
Do you have experience in the following areas?
If you do have experience with another rescue, please give us the name of the Rescue and what your experience is/was with that Rescue:
Have you ever owned a boxer?
Please tell us about your experience with boxers and other breeds:
Are you comfortable approaching a dog you do not know?
Do you understand that dogs are unpredictable, and HBR cannot guarantee that a dog you are working with will not become aggressive?
How can you help HBR?
If you would like to help with Home Visits, please list the area of town you can help in
As a volunteer you are invited to join the Yahoo Group, Houston Boxer Rescue. In this group you will be kept informed of activities in our organization. Please fill in your preferred email address for the invitation
You have expressed an interest in becoming a volunteer to help lost, abused, and abandoned dogs on behalf of Houston Boxer Rescue (HBR) part of your volunteer efforts you will come in direct and close contact with many dogs whose propensities and personalities are unknown. These dogs can be unpredictable and sometimes even dangerous. Many abandoned and abused dogs may become suddenly aggressive. Dog bites are not uncommon and are a constant and real risk at any time that you are near any HBR dog. Such bites can be serious and often require medical attention. They may even result in permanent and disfiguring injuries. Please fill in your initials*
By agreeing to serve as an HBR volunteer and by signing below you agree to assume all of the risks posed by being around unpredictable and sometimes aggressive dogs, including injuries and dog bites. If you are injured in any way while acting as a volunteer or even just while in the presence of dogs which are in HBR’s custody, then you agree to release and hold harmless HBR from any and all claims of any nature for personal injury or property damage and from any and all liability whatsoever including but not limited to liability for any medical expenses, pain and suffering, and from any permanent injury and/or disfigurement, which result either directly or indirectly from such dogs, from dog bites or from any other dog-related incidents. Please fill in your initials*
In addition, if you volunteer to transport any dog in HBR custody including but not limited to transportation in your personal vehicle, then you agree to assume all risks associated with such transportation. You also agree to release and hold harmless HBR from any and all claims or causes of action related in any way to such transportation including claims for injuries and property damage arising from automobile accidents. You further agree to properly restrain all dogs that are traveling by car by either placing them in an appropriate carrier or by restricting their movement in the vehicle to ensure that they will not interfere with the operator of the automobile. Finally, you agree to maintain an automobile insurance policy which provides at least the minimum personal automobile liability coverage as required by the State of Texas at all times while transporting any HBR dog in custody. Please fill in your initials*
Please type your name here:*
Date of Signature:*
