Rescue Group Partnership Application

Rescue Group Partnership Application

Fill in the form below and we'll reach out to you ASAP
What is the name of your Rescue Group?*
What is the Rescue Group's website?*
What is the Rescue Group's Facebook page?*
What is the name of the Rescue Group President?*

First NameLast Name
Approximately how many dogs do you have available for adoption at any given time?*
YesNO
YesNo
YesNO
YesNo
What do you charge for adoption fees?*
If adoption fees are over $300, please explain why:
Is your rescue group breed specific? If so, what breed:
Nonprofit501c3In the process of becoming nonprofit and/or 501c3Not interested in being nonprofit, just wanting to help dogs
Contact Person

Please list the best person for us to work with in your rescue group
Who is the person for us work with in this Rescue Group?*

First NameLast Name
What email can we use to reach this person?*
What's the best phone number to reach them?*

Area CodePhone Number
EmailTextPhone Call
Is there a second contact person?

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
EmailTextPhone Call
If your rescue is open to the public, what is the address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Consents

By hitting submit, I am agreeing to the following things
I Agree
I understand
I understand
I understand
I understand
I understand that as a good faith partner with Hearts Healing Hearts, my rescue group will respect the privacy of the potential adopters that H3 may share with us. We will not sell their information or use their information for anything more than reaching out to see if we can make a connection with dogs available through this rescue group. And that we will not add those people to our contact lists without the prior consent of the potential adopter.*

I understand
I understand
Should be Empty:

Rescue Group Partnership Application

Contact Person

Consents