MCHS Volunteer Pet Transport Form
Questions marked by * are required.
1. First Name and Last Name: *
2. Email: *
3. Home Address including city, state and zip code: *
4. Home/Cell Number. Please list 2 phone numbers where you can be reached: *
5. Day & Time Available for Transporting *
6. Which pets can you transport: *
  • Dog
  • Puppy
  • Cat
  • Kitten
7. How many pets can you safely transport? *
8. I can transport to (check all that apply): *
  • Local vet in Fayette, AL
  • Resue Org. outside my state
  • Rescue Org. within my state
  • Within 25 mile radius of my address
  • Within 50 mile radius of my address
  • Within 100 mile radius of my address
9. What type of vehicle do you have to transport pets in? *
  • Car
  • Truck w/no camper shell
  • Truck w/camper shell
  • Truck w/extended cab
  • SUV
  • Van
10. I prefer to transport under these conditions. Please check all that apply: *
  • Daylight driving
  • Night time driving
  • Daytime only
  • Night time only
  • Clear weather
  • Rain
11. Do you require gas funds? Check all that apply: *
  • Yes
  • I require funds up front
  • I will accept a reimbursement by submitting my odometer reading
  • No
  • I am willing to donate 1/2 the gas expense
  • I will need a receipt for my tax records
12. A representative of the Marion County Humane Society will contact you within 24 hours. Must be approved before transport. Please enter your name showing you understand and have read this form. *