Transport Request & Release

Transport Request & Release

Note: flights within CANADA are only available to Animal Welfare Organizations
Please select your organization type so we may better adapt the form to your needs*

Wildlife Rescue and RehabilitationAnimal Welfare / Rescue

Organization Name*
Contact Name for this request*

First NameLast Name
Phone Number where we may reach you*
Area code + 7 digit phone #Format: (000) 000-0000.
Email where we may reach you*
example@example.com

Departure Province*
Departure village/town/city*
From which village/town/city
Destination Province*
Destination village/town/city*
To which village/town/city?
When is this transport required?*
Eg., flexible, within a week, urgent - medical need etc
Have you requested transport assistance from other transporters?*

YesNo

Species of domestic pet*
Breed / breed mix*
How many (max 3 per form)*
If more than 3 animals, please submit an additional request
- Animal1 Age*
  Indicate weeks, months or years
- Animal1 Sex & status*
  Eg male/intact, female/fixed etc
- Animal1 up-to-date on age appropriate vaccinations (rabies, DAPP / DA2PP)?*
  
  YesNoNot applicable (reptiles, avians)
- Animal 1 If no, please provide reason
  (Medical, Remote community - no recent clinics, etc)
- Animal1 date(s) of most recent vaccine (age appropriate)
  We may contact you for electonic copies of vaccination records
- Animal2 Age*
  Indicate weeks, months or years
- Animal2 Sex/status*
  Eg. Male/sterilized, female/intact etc
- Animal2 up-to-date on age appropriate vaccinations (rabies, DAPP / DA2PP)?*
  
  YesNoNot applicable (reptiles, avians)
- Animal 2 If no, please provide reason
  (Medical, Remote community - no recent clinics, etc)
- Animal2 date(s) of most recent vaccine (age appropriate)
  We may contact you to request electronic copies of vax records
- Animal3 Age*
  Indicate weeks, months or years
- Animal3 Sex/status*
  Use comma to separate sex/status for multiple animals
- Animal3 up-to-date on age appropriate vaccinations (rabies, DAPP / DA2PP)?*
  
  YesNoNot applicable (reptiles, avians)
- Animal 3 If no, please provide reason
  (Medical, Remote community - no recent clinics, etc)
- Animal3 date(s) of most recent vaccine (age appropriate)
  We may contact you for electronic copies of vaccination records

Please upload photos of animals, vax certs etc*

We include your photos in the postings to our volunteer pilot network
Cancelof

Please provide us with the story for this request (background)*
Any background info on this request would be appreciated