JOIN THE AUXILIARY

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Last Name *

First Name *

Birth Date *

Age *

Address *

City *

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Zip Code *

Email *

Cell Phone *

Home Phone

Occupation *

Emergency Contact & Relationship *

Emergency Contact Phone *

Why are you interested in becoming an Auxiliary volunteer?

List additional information that may be useful (hobbies, interests, special skills, training, etc.) *

Select all areas of volunteer interest *
Holiday Fur TreeHoliday BazaarMake Par for Pets Golf ClassicBelk SalesCritter CanistersScarf SalesAntique MallNon-EventUnsure at this time
I have read and understand the Auxiliary Membership Guide. I understand that if I do not abide by all of these rules, my service as a volunteer can be terminated or suspended. I also understand that these rules and guidelines are set forth to protect the animals, the staff and myself. I agree to conduct myself in a courteous and professional manner as a volunteer and as a representative of the Heritage Humane Society. I agree to abide by all Heritage Humane Society’s policies and procedures.
I Agree *
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Today's Date *