Volunteer Application

Thank you for your interest in The Pixel Fund.

Please be aware: We are an all–volunteer rescue with no paid employees. Your application is being processed by a volunteer who most likely has a job, a family, and other responsibilities. We ask that you please be patient with the process. You will receive a confirmation email after submitting your application (check spam if you do not see it). It can take 48-72 hours for the next step depending on how quickly we have someone available to review your information.

Volunteer Application

* Applicant Information * Indicates required field
First Name(s) of Applicant(s)	*
Last Name(s) of Applicant(s)	*
Street Address	*
City	*
State	*
Zip Code	*
Primary Phone Number	*
Alternate Phone Number	*
Work Phone Number	*
Email Address	*
Occupation	*
How did you hear about The Pixel Fund?	*
What is your preferred method of contact?	*
How would you like to help The Pixel Fund?	*
What is your age?	* Less than 18 18+
* Pet Information
Do you have pets?	*
Current Veterinarian Name & Address (if you do not have one, please enter n/a)	*
Current Veterinarian Phone Number	*
* Pet #1 Information
Pet #1 - please list your current or previous pet's name	*
Pet #1 - gender	*
Pet #1 - species	*
Pet #1 - Is Pet #1 spayed or neutered?	*
Pet #1 - Does this pet still live with you? If not, what happened to the pet?	*
* Pet #2 Information
Pet #2 - please list your pet's name	*
Pet #2 - gender	*
Pet #2 - species	*
Pet #2 - Is Pet #2 spayed or neutered?	*
Pet #2 - Does this pet still live with you? If not, what happened to this pet?	*
* Pet #3 Information
Pet #3 - please list your pet's name	*
Pet #3 - gender	*
Pet #3 - species	*
Pet #3 - Is Pet #3 spayed or neutered?	*
Pet #3 - Does this pet still live with you? If not, what happened to this pet?	*
* Release of Liability You will accept the animal and specifically release and hold harmless The Pixel Fund, Pixel’s Posse, Inc., and all of its agents, employees, directors, officers and volunteers from any and all claims and liability in connection with the animal for any reason, and you assume all risks and responsibilities for the care, transport, training and behavior of the animal, including any injury or damage it may cause to people, property or other animals, as well as any rules, regulations or requirements for the importation of pets into the state in which you reside (if you do not reside in Maine or Florida), and licensure and other local ordinances. No warranties of any kind, including but not limited to health, temperament, viability, age or breed are made by The Pixel Fund. I attest that the information provided on this application is true and accurate to the best of my knowledge.
I have read and understand the Liability Waiver above.	*

Thank You! We will be in touch soon.