.:. Fila Rescue, Inc .:. VOLUNTEER APPLICATION

Name:

Street Address:

City:

State:

Zip:

Country:

Full E-mail address:

Home Phone Number, including area code:

Alternate Phone Number, including area code:

Why do you want to join Fila Rescue, Inc.?

How many Filas can you foster at a time? (enter 0 if you cannot foster)

How many miles are you willing to travel (each way) to transport? (enter 0 if you cannot transport)

Are you able/willing to perform home-checks? yes   no

How many years experience do you have with Filas? (enter 0 if you have no Fila experience)
yrs with my own Filas    yrs around other Filas

Number of Filas you currently own:

Are your pets current on vaccinations? yes   no   n/a

Are all of your pets currently on heartworm preventative? yes   no   n/a

If applicable, list any diseases that any of your pets have been diagnosed with in the last 6 months:

Do you rent or own your home? rent   own/buying

Do you have a fenced-in yard? If so, what type and how high?

Is the fence secure underground to prevent dogs from digging under it? yes   no   n/a

Are all of the gates locked? yes   no   n/a

Do you have outdoor kennels/runs? yes   no

Do you own a crate large enough for a adult Fila? yes   no

Are you able to keep a foster separate from other animals/family members if necessary? yes   no   n/a

Where would you house fosters? indoors   outdoors   both   n/a

Explain (in detail) your Fila experience, prior rescue experience, or any other information you feel will be helpful:

List three references, including name, address, phone number, and if applicable, an E-mail address:
1.

2.

3.

Name, address and phone number of your veterinarian:

To help prevent spam, you must enter the word FILA (all caps) in the following box:

Final comments:

PLEASE NOTE: All new members will be provided online access to the Fila Rescue, Inc.
rules and by-laws. By pressing SEND to transmit your application, you are indicating
that you agree to read and abide by the rules and by-laws. If you do not agree, you
may use your browser's BACK button to return to the previous page. You may press
the CLEAR button to erase all data, and (optionally) start over.


Only press send ONCE - it may take the server awhile to process the form...

last revised: 04/24/08 @ 01:41 AM Central Time