Community Animal Response Team Registration Form
CART Team Name
*
Team Coordinator
*
First Name
Last Name
Team Coordinator Phone Number
*
-
Area Code
Phone Number
Type
Home
Office
Cell
Alternate Phone Number
-
Area Code
Phone Number
Email
*
example@example.com
Sponsoring Organization
*
Sponsoring Organization Contact
*
First Name
Last Name
Sponsoring Organization Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
*
Beaver
Box Elder
Cache
Carbon
Daggett
Davis
Duchesne
Emery
Garfield
Grand
Iron
Juab
Kane
Millard
Morgan
Piute
Rich
Salt Lake
San Juan
Sanpete
Sevier
Summit
Tooele
Uintah
Utah
Wasatch
Washington
Wayne
Weber
Who is your County/City Animal Coordinator?
*
First Name
Last Name
Has the team been approved by the County Emergency Manager?
*
Yes
No
Has the team been approved by the Whole Community Coalition?
Yes
No
Is the team willing to assist in neighboring counties?
*
Yes
No
Species Team is Willing to Assist
*
Dogs and Cats
Exotic pets (e.g. reptiles, pocket pets, rabbits)
Farm animals/Livestock
Horses
Other
Does your team have volunteers under the age of 18?
*
Yes
No
Submit
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