New Hope Rescue Volunteer Driver Form
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Email *
First Name: *
Last Name: *
Phone #: *
City of Residence: *
Preference - Cats / Dogs / Supplies *
Required
If you are willing to transport dogs, what size dog(s) are you able to help with? *
Do you own your own crates, or need crates provided? *
Days Available: *
Required
Time of Day Available: *
Required
Distance Able to Drive: *
Your willingness to use your vehicle to transport animals and/or supplies/equipment to our volunteers, to our rescue partners or to appointments is very much appreciated. To ensure safety of all, all drivers must have a valid driver's license and at least 21 years of age; do not have more than one moving violation in the last 12 months; has not received any DUI violations; has no felony convictions; has a safe, well-maintained vehicle. Do you meet these requirements? *
As a volunteer driver, I understand and agree that my insurance provides primary coverage in case of an accident. *
As a volunteer driver, I understand and agree that NHR does not cover, nor is responsible for, comprehensive and collision damage to my vehicle. *
As a volunteer driver, I understand and agree that unless previously agreed upon, I am offering my services to NHR without compensation. *
As a volunteer driver, I understand and agree that I shall assume responsibility for the animals or supplies/equipment I transport while they are in my vehicle. *
As a volunteer driver, I understand and agree that I release NHR from any and all liability of damage, or injury, while I am volunteering. *
Year, Make and Model of Vehicle: *
Vehicle License Plate Number *
Driver's License Number: *
Name of insurance company: *
I certify that the information provided on this form is true. I acknowledge that I have carefully read this document and understand the information therein and I understand and agree to each of the terms and acknowledgments above. (Please insert first and last name acknowledging you understand this statement.) *
Date: *
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