CRVA Volunteer Application
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Please enter your name and address:
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Please enter your phone #'s:
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Are you 18 years of age or older?
yes
no
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Do you have homeowner's or renter's insurance?
homeowners
renters
no
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Please list other family members that need to be considered,
including number and age of children.
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Have you owned or do you currently own a Chesapeake Bay
Retriever?
yes
no
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Tell us about your past or current chessies. They're characteristics, likes/dislikes, etc.
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Areas where you are willing to help:
Fostering
Shelter visits
Obedience
Dog Evaluations
Vet Care
Transport
Phone Contact
Home Visits
Fundraisers
Technical Support (website, emails)
Volunteer Support (take to vet, exercising foster)
Attend Rescue Events (adoptathons)
Education
Sponsoring Dogs ($)
Other?
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If you join Chessie Rescue VA, what information would you like
listed on the CRVA website?
Name
Email
City & State
None
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How did you hear about the Chessie Rescue VA website?
Surfing the net
Petfinder.org
Shelter
CBRs4me
Other Rescue Group
Breeder
Vet
Friend
Local Rescue Event
Current CRVA Member
Previous Adopter
Other
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Are you willing to have a rescue volunteer visit with you and
your family?
yes
no
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Do you have other pets? Please list their species, sex, age,
and whether or not they are spayed/neutered.
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Your email address:
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Indicates Response Required
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