Pets On Wheels - Baltimore Metro & Harford County, Maryland: Volunteer Application

Volunteer Application for:
Baltimore City/Baltimore, Carroll, Cecil, and Harford County.

Please note: ALL DOGS MUST BE DOG FRIENDLY

We do not screen pets until they are at least one year old. And you must own your pet for 6 months before applying.

*Reminder: This chapter of Pets On Wheels covers Baltimore City, Baltimore County, Harford County, Cecil County and Carroll County. If you do not live in one of these county please do not fill out this application.

Personal Information

First Name:		Last Name:
Street address:		City:
State:		Zip Code:
County:	This application is for Baltimore City, Baltimore County, Harford County, Cecil County and Carroll County only.
Phone number:		Cell Phone:
Fax number:		E-mail Address:

Experience:

How did you hear about Pets On Wheels?

Other Possible Visitors

Name: Relationship:
Name: Relationship:

Emergency Contact

Name: Phone:

Pet Information

Breed:
Name:

Sex: Male Female Age: Weight:

Is your pet spayed or neutered? Yes No

Special Talents and or Training

Is the pet covered under your homeowners insurance? Yes No

Name of veterinarian:
Veterinarians phone number:

Print Name as Signature:
Date:

Volunteer Application for: Baltimore City/Baltimore, Carroll, Cecil, and Harford County.

Volunteer Application for:
Baltimore City/Baltimore, Carroll, Cecil, and Harford County.