I/We hereby submit this information to TIBETAN SPANIEL CLUB OF AMERICA RESCUE in partnership with the TSCA RESCUE AND HEALTH TRUST (hereafter the "Rescue") with the intention of volunteering for the Rescue without expectation of recompense in the form of wages, salaries or fees except for any out-of-pocket expenses I/we may incur in connection with my volunteer activity and for which I may apply to the Trust for reimbursement. I/We am motivated solely by concern for and love of the Tibetan Spaniel breed. I/we:
1. Do not own or have any interest in a pet shop or boarding kennel and that I/we are not engaged in buying dogs for resale.
2. Have never been convicted of cruelty to animals.
3. Have not been disciplined nor are under suspension by the American Kennel Club, Tibetan Spaniel Club of America, or any other purebred dog association or organization.