ResQ Shuttle Agreement & Release

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Personal Information

General Information

Please provide the following information for your Shuttle ride. 

Example: Cat: Milo, orange tabby, 7lbs, 2 years old. May bite.
Please explain below if you need a carrier, leash, or any other restraint for your pet to travel safely.

Release of Liability and Agreement

Please read this form carefully and be aware that in consideration for ResQ Shuttle transportation services, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss your pet might sustain as a result of said services, including but not limited to: vehicle operations, the boarding and the exiting of the vehicle, and any medical services received.

Enter the full address for the pick-up location where our volunteers should pick up your pet. If we are not picking up your pet, please simply write N/A.
Please specify to and/or from what veterinary service locations you are requesting transport assistance.
Answer yes to acknowledge and accept.
Answer yes to acknowledge and accept.
Answer yes to acknowledge and accept.
Answer yes to acknowledge and accept.
Answer yes to acknowledge, attest and certify.
Answer yes to acknowledge and consent.
Answer yes to acknowledge.
Answer yes to acknowledge.
Answer yes to acknowledge.
Answer yes to acknowledge.
Answer yes to acknowledge.
Please sign your full name below to agree to the above statement and release.


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