Transport Application

Transportation Application

Please Note:
1. You will need to provide your own crates.
2. All animals MUST be transported inside a safe and secure vehicle.
3. No animals should ridge in the back of a pick-up truck unless there is a camper shell on it.

Full Name: *
Street Address: *
City: *
State: *
Zip Code: *
Home Phone: *
Cell Phone:
Email Address: *
Are you over 18 years of age?: *
If no, how old are you?:
What type of transportation do you have?: *
Which of these shelters are you able to transport from? (Check all that apply)	Putnam County Animal Services in Palatka, FL Levy County Animal Services in Bronson, FL Orange County Animal Services in Orlando, FL Baker County Animal Services in McKenney, FL Broward County Animal Services in Ft. Lauderdale, FL Jacksonville Animal Care & Control in Jacksonville, FL Clay County Animal Control in Penny Farms, FL Bradford County Animal Control in Starke, FL Miami Dade Animal Services in Miami, FL
What days/hours are you available?: *
Do you need to volunteer for community service hours?: *
If yes, how many hours do you need?:
What date do you need to have them completed by?:
Do you agree to sign a waiver to hold SCR harmless for any injuries, etc you might endure?: *