NYC Street Clinic Volunteer Sign-Up

Please use this form to register for the first NYC Street Clinic for people experiencing homelessness with pets held on Saturday June 15th 2019 at Graffiti Church (205 E 7th St, New York, NY 10009). My Dog Is My Home and partners will be looking to engage volunteers in a variety of roles such as outreach volunteers for the month leading up to the event and volunteers the day of.

Please read through the list of volunteer roles and associated tasks before registering. Visit for the list.

All volunteers will be expected to attend a mandatory volunteer orientation prior to volunteering. Please only register if you are sure you can commit to your assigned volunteer role.

For more information about the event please visit our facebook page. If you have any questions please contact

Thank you!

- NYC Street Clinic Steering Committee

Email address *
First and Last Name *
Your answer
Phone Number *
Your answer
Organizational Affiliation
Your answer
Are you a minor? *
Will you be volunteering with a minor? *
Please note that we cannot accept volunteers that are younger than 12.
If yes, what is the minor's first and last name?
Please note that the minor must also complete a volunteer registration form as well.
Your answer
Please pick your preferred volunteer type. *
Please only pick clinic volunteer if you are able to attend on Saturday June 15th 2019
Do you have any additional skills not listed in the volunteer roles that you would like to donate to the NYC Street Clinic?
Your answer
Team Lead - A team lead helps manage other volunteers. To become a team lead, you are required to attend a training session prior to the day you register for. Are you interested in being a team lead?
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