Rescue Organization Application - Lancaster Cty Animal Shelter

Rescue Organization Application

Please complete this form if this is your first time requesting to pull from the Lancaster County Animal Shelter or Lancaster SPCA. Note that pull fees apply for shelter pulls. See Below for Details.
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*

MonthDayYear
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.

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

Cancelof
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@LancasterCountySC.gov

Website: www.LancasterShelterSC.com
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