Rescue Organization Application - Lancaster Cty Animal Shelter

NOTE: This form is for use by RESCUE ORGANIZATIONS ONLY. If you are an individual looking to adopt a pet, please complete an adoption application on our website here: www.lancastersheltersc.com.

Date*

Today's Date

Rescue Organization Name*

Please upload your 501(c)(3) paperwork below.

Rescue Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Contact - Name*

First NameLast Name

Contact - Title*

Your title or position with the organization

Contact - Phone Number*

Please enter a valid phone number.

Contact - Email*

example@example.com

Would you like your email added to our shelter mailing list?*

YesNo

If your organization has a website, please provide the URL here. If you don't have one, type NA.*

Please list names of individuals in your organization authorized to pull animals from our shelter.*

LIst all authorized individuals

Please provide two rescue references for rescues that you work with currently.

Rescue Reference 1*

Rescue 1 Name and URL

Rescue phone number AND email:*

Rescue 1 Phone and Email

Rescue Reference 2*

Rescue 2 Name and URL

Rescue phone number AND email:*

Rescue 2 Phone and Email

Are you an all-breed rescue?*

YesNoOther

What type of animals does your rescue pull?*

At what age does your rescue spay & neuter dogs?*

At what age does your rescue spay & neuter cats?*

If you are outside of South Carolina, what are the medical requirements required prior to transport?:*

What veterinarians do you work with? Please provide the name AND phone number for the office(s):*

Will you need us to provide transport?*

YesNo, rescue will arrange pick upOther

Do you require animals be spayed/neutered prior to leaving the shelter?*

YesNoOther

Please upload your rescue's 501(c)(3) paperwork if this is your first pull from the Lancaster County Animal Shelter.

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Does your organization have a mission statement? If so, please upload a copy here:

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The information we have supplied regarding each animal's behaviors, personality, and health is our sincere and honest evaluation. We do our best to provide all the information we have, but we cannot make any guarantees as there may circumstances that we have not been able to observe.

Pull Fees are as follows:
Dogs - $100 each if spayed/neutered, $40 if not already spayed/neutered. Fee includes age-appropriate vaccines, microchip, and Heartworm/combo tests.

Cats - $80 each if spayed/neutered, $40 if not already spayed/neutered. Fee includes age-appropriate vaccines, microchip, and Feline Aids and Feline Leukemia tests.

Your signature is an acknowledgment that all statements you have made on this application are true and you have read and understood the above.

Signature*

Clear

Please add any additional comments you may have that will be helpful to us in processing your application.

Lancaster County Animal Shelter
Phone: (803) 286-8103
Address: 2074 Pageland Hwy., Lancaster, South Carolina 29720
Email: Animal@LancasterSC.net
Website: www.LancasterShelterSC.com