Print out and fax application with credit card information to 425-820-1717, or mail application with your donation check to
Pasado's Safe Haven, P.O. Box 171, Sultan, WA 98294

Please reserve ______ places for the Pasado's Safe Haven Farm Tour on


I have enclosed my check payable to Pasado's Safe Haven in the amount of $_________ to cover the minimum $25.00 donation per person (no children under the age of 12 please. Special tours for children's groups can be arranged.).  I understand my donation is fully tax-deductible, and that no tickets will be mailed to me.  My name and the number in my party will be listed at the Pasado's Safe Haven reception desk on the day of my visit.  I also understand there will be no refund of donations, but I may re-schedule my visit for a different scheduled day by notifying the sanctuary by calling 360-793-9393 up to 48 hours prior to the originally scheduled event.

We will send an acknowledgment of your reservation, with directions to the sanctuary by e-mail, postal mail, or fax. There is no need to telephone or e-mail us for confirmation. We will expect to see you on your reserved tour day!

If the tour date you have chosen is full, we will e-mail or call you to re-schedule another day.

Please donate as much as you can for this wonderful experience. 
Our animals need your help.

Washington State Patrol Background Check
REQUEST FOR CRIMINAL HISTORY INFORMATION
CHILD/ADULT ABUSE INFORMATION ACT
RCW 43.43.830 THROUGH 43.43.845

Washington State law requires us to conduct a background check on individuals who will or may have unsupervised
access to children under sixteen years of age, developmentally disabled persons, or vulnerable adults. Therefore, we ask every visitor and volunteer to provide the necessary information to conduct a background check.

Your application, any additional information you provide, and the results of the background check are kept completely confidential. We appreciate your cooperation.

APPLICANT OF INQUIRY (The following is REQUIRED information.)
Alias/Maiden Name:
Date of birth:
Sex

Print your name:

 

Address:

 

City/State/Zip

 

E-mail address:
Telephone number: 
Number of spaces to reserve:
Full names of your guests:

 

 

Is this a special date for you or your party? (Birthday, anniversary, etc.) Please note:

 

Did you sponsor one of our animals? NO _______ Yes______Which animal(s)
No. of adults in your party?
Amount enclosed: (min $25 pp)
Paid by Check:
Paid by Credit Card (circle one) : VISA MC Amex Discover
Credit Card # Exp. Date:
Signature:
We appreciate your tax-free donations to help the animals.  Please make your donation for this event as large as your heart will allow.

Foreign visitors please note: we are not equipped to accept foreign currency.  US funds only, please.

PRINT OUT THIS FORM AND FAX TO 425-820-1717 or mail to P.O. Box 171, Sultan, WA 98294

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Copyright © 2009 Pasado's Safe Haven             Pasado's Safe Haven is a 501(c)( 3) non-profit organization.

Charity Navigator, America's premier evaluator of charities, has awarded Pasado's Safe Haven its highest rating, receiving
a 4-Star Rating - for five consecutive years!