A No-kill, Non-Profit Animal Rescue, Rehabilitation and Retirement Facility
3701 Boiling Spring Road, Winnabow, NC 28479
(910) 845-PAWS
Welcome to Paw's Place Adoption Program. Thank you for volunteering your time and effort to our organization. We need this information in case of an emergency that requires us to contact someone on your behalf. Please fill out completely and give to a Paw's Place representative, or mail this form to Paw's Place, Inc., 3701 Boiling Spring Road, Winnabow, NC 28479 or fax to (910) 845-8622.
PLEASE PRINT:
In case of an emergency, the following person is to be contacted immediately:
Full Name:_________________________________________
Relationship to volunteer:________________________________
Phone # home________________________________________
Phone # work________________________________________
Cell phone #______________________________________
In case an ambulance needs to be called:
my health insurance card can be found _______________________________________
a medical alert card can be found _______________________________________
Thank You!