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Organization:
Are you ___Private___ Municipal____ Non-Profit (check all that apply)
Address:
City: State: Zip:
Phone:
Email:
Fax:
Contact person:
How many dogs can you hold?
What facilities do you have for dogs:
cement runs how many?
foster homes how many?
metal cages how many?
Please describe a typical day for the dogs in your shelter:
(walks, training time, meals, etc)
How many cats can you hold?
What facilities do you have for cats?
metal cages how many?
cat room(s) how many cats?
foster homes how many?
Please describe a typical day for cats in your shelter:
Are cats and dogs housed separately?__ Yes__ No
What is the approximate ratio of animals to people working with them?
Do you provide socialization, house training and/or obedience training?_ Yes_No
Can you address behavior issues?__ Yes__ No
If yes, please describe which ones and how?
What are your quarantine procedures?
Will/can you take in and treat animals with contagious diseases? If yes, please describe which one and how?
Are there any diseases that are grounds for automatic euthanasia? Please list
Please list the types of medical care you routinely provide for the animals in your care (vaccines, worming, spay/neuter, heartworm preventative)
Do you have a vet on site?__ Yes__ No
Do you have a vet that routinely visits your facility?__ Yes__ No
Do you transport animals to a vet?__ Yes__ No
Do you have a vet who will perform pediatric spay/neuter?__ Yes__ No
At what age?
Puppies
Kittens
Do you allow same day adoptions?__ Yes__ No
Do you do home visits for dogs? __Yes__ No For Cats?__ Yes__ No
Do you have an adoption application? __Yes (please attach copy)__ No
Do you have an adoption contract?__Yes (please attach copy)__ No
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