Transporter Application

First name

Last name

Phone

Address

Are you willing to provide your own gas for transporting animals?

Yes

Occupation

What make, model and year of vehicle do you drive?

Do you have a preferred transport area or distance limitation?

What days/hours are you available to drive for Heartland Cavalier Connection Inc?

Why are you interested in volunteering at this time?

Please list all training techniques, training classes, and tools you have used on previous and current pets

Please upload a photo of your driver's license

Please upload a photo of your valid auto insurance policy

Yes, subscribe me to your newsletter.

I agree to have a valid driver's license and auto insurance while volunteering as a transporter for Heartland Cavalier Connection.

I understand that accidental animal bites or other injuries to humans and other animals do occur, and agree to hold harmless and indemnify, and protect Heartland Cavalier Connection Inc from any claim or suit filed by anyone as a result of such an incident. In addition, our organization will not be responsible if animal should damage or destroy property belonging to me or others, or shall transfer any disease or internal or external parasites to other animals belonging to me or other animals.

Signature

Signature field is empty.