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Pet Evacuation Team

PO Box 5171

Bend, OR  97708

541-610-6628

February 21, 2026

Please select who will be participating...
AdultMinor
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First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
First Participant's Date of Birth*
Date of Birth
Information

Why do you want to volunteer with the Pet Evacuation Team? *

Animal Handling Experience *

What animals do you feel most comfortable working with? *

Are you afraid of any animals? If yes, what kind? *

Beyond animal handling, what other skills to do you have that would be beneficial to PET? *

Do you have any medical conditions we should be aware of, in case of emergency? *
As a volunteer with the Pet Evacuation Team, I agree: - To follow rules and procedures. - To respect the Pet Evacuation Team's right to dismiss me as a volunteer if determined so by the Program Director or government official, including law enforcement and fire fighters. *
First Participant's Signature*
Parent or Guardian's Email Address
Email*
Confirm Email*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Emergency Contact's Relation to Participant
Insurance
Insurance Carrier*
Insurance Policy Number*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Relationship*
Phone*
Select Gender
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Date of Birth*
Date of Birth
Information

Why do you want to volunteer with the Pet Evacuation Team? *

Animal Handling Experience *

What animals do you feel most comfortable working with? *

Are you afraid of any animals? If yes, what kind? *

Beyond animal handling, what other skills to do you have that would be beneficial to PET? *

Do you have any medical conditions we should be aware of, in case of emergency? *
As a volunteer with the Pet Evacuation Team, I agree: - To follow rules and procedures. - To respect the Pet Evacuation Team's right to dismiss me as a volunteer if determined so by the Program Director or government official, including law enforcement and fire fighters. *
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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