VOLUNTEER FORM – Corona Virus

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If you are interested and able to help either the Association or a local family in need by caring for a dog during the current Coronavirus pandemic, please complete the attached form. Depending on the level of response, we will either hold your details or contact you in due course.We would particularly love to hear from you if you are in the Poitou-Charentes region, but are happy to take your information wherever you are in France. We may pass your details on to another Association if you’re better placed to help in their locality. NB We won’t do so without prior agreement.

Name

Address

Mobile

People at home (including ages)

Pets at home including age/sex/neutered?

Property owned or rented

Owned

Rented

Clear selection

Enclosed garden

Yes

Clear selection

Location

Town

Village

Rural location

Clear selection

How would you like to help?

I can look after a dog for someone who becomes too ill to care for their own pet

I would like to foster a dog from the Pound

How would like to help? (other info)

(Please include the length of time you are able to help.)

Please add me to the Association En Route Newsletter

Yes

Clear selection

GDPR Agreement *

I consent to Association En Route storing my submitted information so they can respond to my enquiry.

Required

Submit

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