Rescue Application
Please fill out the following
application carefully and completely.
The application is designed to help us make the best placement possible
for our pets.
PLEASE READ THE FOLLOWING SECTION
CAREFULLY. IN ORDER TO BE CONSIDERED YOU
MUST:
·
Be willing and able to provide medical care and loving attention.
·
Be willing to have the pet examined by a veterinarian and provide any
needed treatment at your own expense.
·
Have the pet vaccinated against rabies.
·
Have the pet spayed or neutered (if not already done).
·
Abide by city, county, and state ordinances and
laws.
·
Make sure the dog wears a collar with a rabies tag and ID.
·
Abide by all the rules of our adoption agreement.
·
Understand that the
I have read, understand, and agree
to the above adoption (rescue) requirements.
Signature_____________________________________Date________________
Animal(s) that you are interested in:___________________________________________
Name and Address of your
Organization: ________________________________________
___________________________________________________________________________
Rescue Contact Phone
#:________________________Email:________________________
Website?
______________________________________501(c)3?__________
Are you a Rescue or Sanctuary? _______ If you are affiliated with a
National Rescue, please give name, address, and contact phone #: _______________________________
Do you have a shelter facility? _____ If so,
address:____________________________
No. of yrs. in operation: __________
Approx. # of placements/yr.:_________
Do you do home checks prior to placement? ____
Do you require spay or neuter prior to placement? _____
Are you willing (upon request) to provide us with name and contact
information for foster and/or adopter of the animal(s) we send to you?_______
Will you send us paperwork after the pet is placed? _____
May we visit you in the future to verify the pet’s well being? _______
Do you have a transport system in our area?
_____________________________________
Have you pulled from shelters in your area? _____ If so, give shelter
names and phone numbers:
___________________________________________________________________
Please give name and phone numbers of veterinarians you use for rescues
in your area:
Name _____________________________________ Phone # _____________________
Name _____________________________________ Phone #
______________________
Comments:
_______________________________________________________________
__________________________________________________________________________
Signature _____________________________________ Date:
______________________
(Mail to: Dir., Wetzel Co. Animal Shelter, RR2