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FGDR - Online Transportation Application
Transport Application for Polar Express

Thank you for taking the time to fill out our Transportation Application online. All information received by FGDR will be kept confidential.
Contact Information
*  denotes manadatory field
*Full Name: 
*Email: 
*Address: 
*City: 
*Province/State: 
*Country: 
Postal Code/Zip: 
*Home Phone: (xxx-xxx-xxxx)
Work Phone: (xxx-xxx-xxxx)
*Cell Phone: (xxx-xxx-xxxx)
Emergency Contact & Number: 
Driving Details
Do you have access to email while on the road?:  Yes No
Bluetooth enabled?:  Yes No
 
Legs offering to drive: 
 
Max Distance: 
Suggested Meeting place: 
Vehicle Details
Drivers licence plate: 
Drivers licence number: 
Make of Vehicle: 
Colour: 
Number of Doors: 
Vehicle Size: 
Number of Available Cages(Crates): 
Means to restrict dogs i.e. tether/crates/divider: 
How many crates can your vehicle accommodate?: 
What size would these crates be?: 
 
Please explain how you will keep dogs separated if needed: 
 
Previous Transport Experience
Please Explain Experience in Previous Transport: 
 
Do you have a passport to get across the border?:  Yes No N/A
How many dogs have you transported in the past?: 
What sizes?: 
 
Any problems?: 
 
How were hand-offs?: 
 
Breed Specific Experience: 
Pull Help
Are you able to physically pull a dog from a shelter for us if needed?: 
 
Important Notes
**All vetting papers must be in order to get them across the border. A check list will be provided at that time. (Please check and double check, as stops at the border can be costly and it is a hassle to find temporary fostering until paperwork is sorted out) Age will be a minimum of 8 months and must be reflected on the paperwork and be signed by a veterinarian
 
Are you willing to be put on a list for fostering until a transport starts?:  Yes No
 
1. References (Name and Number, veterinarian, if applicable):  Name:   Phone:(xxx-xxx-xxxx) 
2. References (Name and Number):  Name:   Phone:(xxx-xxx-xxxx) 
3. References (Name and Number):  Name:   Phone:(xxx-xxx-xxxx) 
By Submitting this application below, I certify that the information I have provided is complete and accurate and that I give my permission to FGDR to contact my veterinarian.
(SENDING THIS APPLICATION ONLINE CONSTITUTES FOR AN ELECTRONIC SIGNATURE)