First Name*

Last Name*

Address

City

State/Province

Zip/Postal Code
 - 

Email*

Home Phone

Cell Phone*

Are you 18 or older?

How well do you know cats?

Have you ever volunteered with another animal rescue organization?

If YES, which organizations and what did you do?

Kitty Caretakers are asked to pick up at least one shift a month. Are you able to make this commitment?

Please check the Kitty Caretaker shifts you prefer (check all that apply):

I agree to the terms of Paw Placement's release of liability as stated below:

Electronic Signature:*