First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone

Work Phone
x

Cell Phone*

Alt Email

I would like to join PAWS as one of the following:

1.  Active Voting Member 
     -pay dues of $25 per year 
     -join and actively participate in a minimum of one PAWS committee
     -attend at least four monthly general meetings per calendar year         
     -have voting privileges

2.  Friend of PAWS         
     -pay dues of $25 per year for single/pay dues of $40 for a family 
     -are welcomed (but not required) to participate in any aspect of PAWS at any time during the year (including meetings)
      -have no voting privileges.

3.  Student Member (for full time students)
     -are not required to pay dues but must volunteer for 25 hours (in the calendar year)
     -are expected to participate in some aspect of PAWS work during the year
     -have no voting privileges.

Please select type of membership:*
Choose one: Active voting member ($25) Friend of PAWS - family ($40) Friend of PAWS - single ($25) Student Member (full time student) ($0)

Occupation*

Birthday*

Pets

Special interests (ex. Excel, Web Design, photography, writing, etc.)

Please indicate one or more committees or activities which interest you:

Signature of Applicant__________________________________Date________

Parent/Guardian signature (required for student members who are under 18)

________________________________________________________________

PAWS agrees to hold harmless any claim that might arise against any volunteer(s) who is acting in an official capacity on behalf of PAWS.  The PAWS executive board must be notified in advance and provide authorization for any activity(ies) or volunteer actions on behalf of PAWS.  Said volunteer(s), regardless of any position held within the PAWS organization, must perform the activity(ies) in an appropriate and legal manner.

Verified and accepted by

PAWS Board Member________________________________Date_________

PAWS Board Member________________________________Date_________