Transporter Volunteer Demographic Form

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Your name *

Name as it appears on Facebook *

We communicate almost completely through Facebook messenger as it is easiest to spread the message about needed transport.

Do you have a reliable vehicle? *

Yes

Where are you located? *

We are in the St. Louis, MO area we transport throughout Missouri, and parts of Arkansas, Kansas and Illinois.

Cell Phone Number *

Email Address *

Do you have a valid drivers license? *

Yes

Do you have current, up to date car insurance? *

Yes

Have you had a car accident in the past 3 years? *

Yes

If you have had an accident in the past 3 years, please elaborate. Was it your fault or the other driver?

You understand that if transporting bunnies, all carriers should be secure and inside the car, windows should be closed, temperature should be 60-70F, unauthorized stops (barring gas and fast food) should not be made with the rabbits in the vehicle, and you are not to provide them any food other than rabbit safe veggies and/or water. Loud music will also cause lots of stress in the rabbits so we do not encourage it. *

I understand and agree.

I do not understand and/or not agree.

My signature to this volunteer liability release attests to my intent to hold harmless and release from all liability Dollys Dream Home Rescue & from all acts which are related to the normal performance of required and implied duties. My signature, whether original, by fax or any other electronic means, is valid as if it were an original signature. *

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