best tracker Humane Society of North Central Arkansas: animal shelter, rescue, adopting, adoption, pets
  Humane Society of North Central Arkansas
  2656 Hwy 201 North
  Mt. Home, AR  72653
  870-425-9221
  E-mail: hsnca@centurytel.net
 
Adoptable Animals:
 Dogs/puppies (27)
 Cats/kittens (35)  
 All Adoptables (62)
  About Us
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  Adoption Application
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1. YOU MUST BE 18 YEARS OLD AND A MEMBER OT THE HUMANE SOCIETY OF NORTH CENTRAL ARKANSAS.

2. CLICK ON "BECOMING A VOLUNTEER" ON THE LEFT SIDE AND CLICK DONATION BUTTON TO MAKE DONATION TO BE A MEMBER.

3. FILL OUT FORM BELOW.

   
 
Why would you like to volunteer at the Humane Society of NCA?
   
 
Do you have any physical or medical limitations/needs we should be aware of?  If so, please explain.
   
 
Have you had any experience with animals? If so, please explain
   
 
Are you allergic to any animals?
   
 
Have you ever been convicted of a felony? If so, please explain.
   
 
What days are you available to volunteer?
Monday_ Tuesday_ Wednesday_ Thursday_ Friday_
Saturday_
   
 
Please list all volunteer activities you are interested in:
   
 
"I CERTIFY THAT ALL THE INFORMATION IS TRUE AND CORRECT AND I AM OVER 18 YEARS OF AGE AND A MEMBER OF THE HUMANE SOCIETY OF NCA."


   
 
Signature and Date
   
 
WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

1.  I hereby release, waive, discharge and covenant not to sue Humane Society of North Central Arkansas, Inc., its officers, servants and agents from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or relating to any loss, damage or injury, including death, that may be sustained by me, or to any property belonging to me while in, on or upon the premises of Humane Society of North Central Arkansas.

2.  I voluntarily assume full responsibility for any risks of loss, property damage or personal injury that may be sustained by me, or any loss or damage to property owned by me.

3.  It is my express intent that this Waiver shall bind the members of my family and spouse and shall be deemed as a Release, Waiver, Discharge and Covenant Not to Sue the above named Humane Society of North Central Arkansas, Inc.

In signing this release, I acknowledge and represent that:

a.  I have read the foregoing release, understand it and sign it voluntarily as my own free act and deed;
b.  No oral representation, statements or inducements, apart from the foregoing written agreement, have been made;
c.  I am at least eighteen (18) years of age and fully competent; and
d.  I execute this Release for the full adequate and complete consideration fully intending to be bound by same.
   
 
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
   
 
day of
      
   
 
Signature:
   
 
Name Printed:
   
 
Witness:
   
 
Witness Name Printed:
   
 
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