I hereby certify that all entries on this registration form are true and complete. I agree and understand that any falsification of information herein, regardless of the
time of discovery, may cause forfeiture on my part of my volunteer position in the service of the Commonwealth of Virginia. I understand that all information on this
registration is subject to verification and I consent to credential and criminal history background checks. I understand that information contained here may be
disseminated to other agencies, nongovernmental organizations or systems on a need-to-know basis for good cause shown as determined by the program
coordinator or designee. I also understand that completion of the application does not guarantee that I have been approved as a Volunteer.
I understand that the Virginia State Animal Response Team Board of Directors (VASART) and/or team coordinator or designee of any Community Animal Response Team (CART) will only use my personal information as it directly relates to my role as a volunteer with VASART or CART.
3801 Westerre Parkway, Suite D
Henrico, VA 23233