The document is a volunteer application for Lone Star Boxer Rescue. It requests basic contact information and experience with dogs. Applicants must be at least 21 years old. Once submitted, a volunteer will contact the applicant within a week to discuss opportunities to foster dogs, transport dogs, assist with adoptions and fundraising, or provide other support. The application also includes a liability waiver for any injuries that could occur while volunteering.
1. Lone Star Boxer Rescue
P.O. Box 541286, Houston, TX 77254-1286
Phone: (713) 464-1381 ▪ Fax: (281) 251-6179
www.lsbr.org
VOLUNTEER APPLICATION
Thank you for your interest in volunteering with Lone Star Boxer Rescue (LSBR). The minimum age requirement to
volunteer with LSBR is twenty-one (21). Once you submit a completed application, your application will be assigned to a
volunteer in your area who will contact you within a week.
To submit this volunteer application, please complete and submit via fax to (281) 251-6179 or scan document and email
as an attachment to apps@lsbr.org. Once your application has been reviewed a LSBR volunteer will contact you.
PERSONAL INFORMATION
Name:
Spouse Name:
Date:
Address:
City: State: Zip:
Phone(Hm) (Work) (Cell)
Subdivision: Major Cross Streets:
Spouse Work Phone: Spouse Cell Phone:
Email Address: Spouse Email:
Texas Drivers License Number:
Please place ‘X” next to your choices:
What is the best way to contact you?
Home Phone Work Phone Cell Phone Email Address
TELL US ABOUT YOUR EXPERIENCE WITH DOGS
Do you have experience in the following areas?
Rescue Fostering Vet Tech Micro-chipping Grooming
Behavior Training Kennel
Have you volunteered for another rescue? YES NO; If yes, what rescue(s)?
Have you owned a Boxer? YES NO
Please tell us about your experience with Boxers and/or other breeds:
Are you comfortable approaching a dog you do not know: YES NO
2. Do you understand that dogs are unpredictable, and that LSBR cannot guarantee that a dog you are working with
may not become aggressive: YES NO
3. HOW CAN YOU HELP?
Please check the box next to any assignment of interest below:
I am available to transport dogs from shelters to vets and/or to boarding facilities.
I am interested in working with a particular dog to help it become more adoptable.
I would like to help with fundraising activities.
I would like to help with showing dogs to approved applicants on weekends.
I am able to complete home visits. List areas of town:
I would like to help maintain the Boxer Rescue Yahoo group.
I am able to foster a dog (please complete the Foster Home section below).
I am able to foster a dog through heartworm treatment (please complete the Foster Home section below).
I would like to spend time playing, bathing, and walking dogs that are in boarding.
Please list other skills you may have that would assist LSBR:
As a volunteer you are invited to join the Yahoo group, Boxer Rescue. In this group you will be kept informed of
activities in our organization. You will need to be a member of this group to access applications, participate in home
visits, check vet/personal references, fundraisers, etc. If you are interested in fostering, joining this group is mandatory.
Please indicate whether or not you are interested in being part of this email group: YES NO
RELEASE OF LIABILITY
You have expressed an interest in becoming a volunteer to help lost, abused, and abandoned dogs on behalf of Lone Star
Boxer Rescue (LSBR). As 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 LSBR dog. Such bites can be serious and often require medical attention. They
may even result in permanent and disfiguring injuries.
By agreeing to serve as an LSBR 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 LSBR’s custody, then you agree to
release and hold harmless LSBR/Fritz Carlton 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.
In addition, if you volunteer to transport any dog in LSBR 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 LSBR/Fritz Carlton 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 LSBR dog in custody.
Signature:
Date:
I agree that by initializing or typing my name above, it is the same as signing my name to this document.
You must sign or type your name to this document or it will not be considered complete.