Rescue Application Form

  • Application for Rescues to The Anti-Cruelty Society

  • Status
  • Today's Date*
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  • INFORMATION ABOUT YOUR RESCUE

  • We rescue*
  • We are a (check all that apply)

  • What other sites do you have? (Check all that apply)*

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  • We request authorized puller information to prevent third-party individuals from falsely pulling animals under your rescue's name. Should your authorized puller contacts change, please notify us by submitting this form again and we will update our files.

  • Authorized Pullers*

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  • Is your rescue a 501(c)(3) non-profit?*

  • If your rescue does not have a federal EIN # and it's registered under an individual's social security number instead, please do not list that SS # in the EIN box below. Instead, just put this: SS#/private. We are not interested in receiving anyone's social security number. Please keep that information private.

  • Does your organization breed?*

  • REFERENCES: Please provide your veterinarian's contact information.

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  • YOUR RESCUE'S PROCESSES AND POLICIES

  • Do you require animals to be spayed or neutered before adoption? *

  • What type of accommodations does your rescue provide for the rescue animals? Check all that apply.*

  • Do you agree NOT to have unnecessary, cosmetic surgery performed such as ear cropping, tail docking, & declawing?*

  • Do you agree to keep fosters current on vaccinations while in your care & to find a home that will agree?*

  • Do you understand that if any of the information on this application is found to be false, or if we find the animal you are rescuing from us is not being given the proper care (personal or veterinarian), we will reclaim the animal?*

  • TRANSPORT INFORMATION

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