Please help FCARL learn more about you and your organization by reviewing and responding to the following:

Are you affiliated with a National or Regional Rescue Organization? Yes No
    If Yes, Organization Name:
If you answered NO above, how are you funded?

Are shelter animals considered for Rescue? Yes No
Are owner turn-in animals considered? Yes No
Are non pure-breeds considered? Yes No
Will the animal be checked by a vet upon rescue? Yes No
What geographic areas do you Adopt? Rescue?

What paperwork/history is required on the animal?

Will you provide pull/rescue fees to rescue the animal? (see below) Yes No
Fees include spay/neuter, worming, heartworm test, bordetella drops (dogs), vaccinations (DHHP or PRCC),
Leukemia/FIV Test (cats). Rabies Vacc $10 extra.

Where are the animals housed prior to being adopted (i.e. fostering, boarding, etc.)?

Please indicate below the items, if true, whereby you will NOT provide rescue for an animal:
HW + Cancer + Dog Aggressive Cat Aggressive Food Aggressive
Toy Aggressive Cataract(s) Small Child Aggressive Mixed with a breed

Other circumstances:
Under what circumstances would you have an animal euthanized?

How are animals temperament tested?

How do you gain exposure of the animals up for adoption? How do you market your Rescue?

How is transport handled for a Rescue? Do you have a Transport Coordinator?

Please indicate below the items which are included and REQUIRED in your Adoption Agreement/Contract:

Home Visit
Spay/Neuter
Fenced Yard
Age Requirement of Adoptor
Abide by Local & State Laws
Food, Shelter, and Medical Care provided for life of animal
Family Pet – No hunting or guard duties
Not to be tied or chained outside without supervision
Collar & ID on Animal
Not to be given away to others
“Rescue” to be contacted in the event the animal cannot be cared for, dies, is stolen, or is lost.
Not allowed to ride in bed of pickup truck
“Rescue” can remove animal from home under certain circumstances
Inquire about Rent or Own
Inquire about ages of children in household
Inquire about other pets in household
Personal Reference Check
Veterinarian Reference Check

Please provide the following contact information for reference checks and general documentation.

Please provide contact information for a Veterinarian who has seen rescued animals in your care:
Clinic Name:
Vet’s Name: Phone:
Address: Hours:
Name on the File:
Note: Please let your Vet know that FCARL may call for a reference – please provide approval for inquiries. Thank You.

Please list the names and phone numbers of three references (please provide one family who has adopted an animal from you):

Where did you hear about the N.A. Animal Shelter and FCARL?

Note: You will be required to sign and date a copy of this application.

You will have an opportunity to preview your application before sending.