Shelter/Rescue Partner Application
Name of Organization *
How long has your organization existed? *
Address *
Address 2
City *
State *
Zip *
Website
Primary Contact *
Title
Email *
Phone *
Please list all of the first and last names of all personnel authorized to pull animals under your organization's license:
Is your organization currently listed with the State? *
Does your organization hold a current 501(c)3 status? *
Does your organization use PetPoint?
What types of animals does your organization accept? *
Required
What specific breeds do you look for, if any?
Will you consider accepting a mixed breed?
Will you accept sick/injured animals?
Under what circumstances would you euthanize an animal in your program? Please explain.
By selecting the box below I/we agree to allow Kansas City Pet Project the right of first refusal to ownership of the above-described animal if at any time we are unable or unwilling to care for the animal, and are considering euthanasia for it. I/we agree to contact Kansas City Pet Project and, if so desired by Kansas City Pet Project, return said animal to Kansas City Pet Project for evaluation so that Kansas City Pet Project may make an informed decision prior to exercising their right of first refusal.
How many animals does your organization take in annually?
How does your organization house the animals currently in your program?
References
Reference Name #1
Reference #1 Relationship
Reference #1 Phone
Reference #1 Email
Reference #2 Name
Reference #2 Relationship
Reference #2 Phone
Reference #2 Email
Reference #3 Name
Reference #3 Relationship
Reference #3 Phone
Reference #3 Email
Local Animal Control Agency Name
Local Animal Control Agency Phone
Veterinarian Name
Veterinarian Phone
Department of Agriculture License (PDF Format)
501(c)3 File (PDF Format)
Thank you!
By submitting this form, I agree to spay/neuter all animals taken from Kansas City Pet Project prior to release. I confirm that all of the above and attached information is complete and accurate to the best of my knowledge.
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