Transport Wavier

Personal Info.

To be considered as a transport driver you must be 18 years or older, have a valid driver's license and currently insured.

Are you 18 years of age or older? *

Yes No

Do you have a valid drivers license and currently insured? *

Yes No

* Indicates required field

Name *

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Address *

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Phone Number *

Email *

Please Read and Check Each Item:

I understand that Helping Paws of Southern MN has taken all reasonable measures to protect me, and that even so, accidents and injuries may still occur. I realize that animals may bite, scratch or carry disease. They may also cause damage to my vehicle or personal property. Therefore, I hereby completely release and entirely discharge Helping Paws of Southern MN from any and all claims and causes of action that I or another might have or bring relating to or arising from any injury or damage that I should sustain while assisting Helping Paws of Southern MN or in connection with my volunteer work for Helping Paws of Southern MN. *

Yes No

I certify that I have a valid Driver's License, active car insurance, and reliable transportation. I understand and agree that Helping Paws of Southern MN is not liable for any injuries, damages, liabilities, losses, judgments, costs, or expenses whatsoever that I may suffer or sustain in connection with the performance of my volunteer activities, unless they are the result of Helping Paws of Southern MN's gross negligence (a carelessness and reckless disregard for the safety or lives of others, which is so great it appears to be almost a conscious violation of other people's rights to safety) or intentional misconduct. *

Yes No

I understand that because I may come in contact with animals, it is important to discuss being vaccinated against tetanus with my physician. I release Helping Paws of Southern MN from all responsibility that may occur because of my not pursuing this matter further and I understand whatever decision I make is at my own risk. I have read, understand and agree to the above tetanus information. *

Yes No

My signature to this volunteer liability release form attests to my intent to hold harmless and release from all liability Helping Paws of Southern MN or any of its past, present or future officers, agents, volunteers, employees or assigns, 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. *

Yes No

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Transport Waiver

Personal Info.

Please Read and Check Each Item: