Trailering Volunteer Application

Download printable Trailering Volunteer Application here.

 

A. General Information (all fields must be completed. If non-applicable enter n/a)

Name:

Address:

City, State, Zip:

Home Phone:

Alternate Phone:

Email Address:

Date of Birth:

Driver’s License Number: ______________________ State of Issue:____ CDL?______

Employer:____________________________________ Length of employment:______

 

B. Towing Vehicle Information:

Year, make, and model of towing vehicle:________________________________________

Registered to:________________________ License plate number:___________________

Insurance Carrier:____________________ Policy Number: ______________________

Horse trailer: Year:________ Make:_____________ Length & Height_______________
Type:______

Hauling Experience: (please detail your experience in hauling horses and how long)

___________________________________________________________________________

Have you ever had a trailering accident? Yes: __ No: If yes, please describe:

___________________________________________________________________________

Number of horses you can haul at one time: _____________________________________

How far are you willing to travel away from home to haul:__________________________

Confidentiality Statement:

I agree that certain information concerning Bluebonnet Equine Humane Society may be confidential and I will use discretion discussing BEHS policies, procedures, cases and other business with anyone that is not a member of BEHS. I also understand that as part of my membership, it is a privilege not a right to join certain email lists. No email message will be forwarded or discussed with anyone not being a member of the same lists without receiving permission from an officer of BEHS. I have read, understand, and agree to abide to this statement outlined herein.

__________________________________
Signature

_____________
Date

 

Liability Waiver:

By signing this application, I agree not to hold Bluebonnet Equine Humane Society liable in the event of injury, death, or damage to any human, animal or property as a result of trailering horses for Bluebonnet Equine Humane Society. I also agree to carry insurance on my vehicle at all times when hauling horses for Bluebonnet Equine Humane Society.
I, the undersigned, have read and understand the following warning:

WARNING

UNDER TEXAS LAW (CHAPTER 87, CIVIL PRACTICE AND REMEDIES CODE), AN EQUINE PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTIVITIES.

______________________________________
Trailering Applicant

______________
Date

 

Required Documentation: (copies of must be received before you will be considered for a trailering volunteer)

Insurance Certificate received:___ Trailer Photos:_____

I, the undersigned, understand that I may be denied as a trailer volunteer for any reason. I also submit that the information on this application is true and that Bluebonnet Equine Humane Society may conduct a background check before approving my application.

______________________________________ ____________________
Trailering Applicant