Rescue Partner Application

Organization Information
Name of Organization*
How long has your organization existed?*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Website
Primary Contact*
Title
Email*
Phone*
Please list all the first and last name of all personnel authorized to pull animals under your organization's license.
Is your organization currently listed with the State?*
- Yes
- No
- Not Required
Does your organization hold a current 501(c)(3) status?*
- Yes
- No
Does your organization use PetPoint?
- Yes
- No
PetPoint Shelter ID
What types of animals does your organization accept?*
- Dogs
- Cats
- Birds
- Small Mammals
- Reptiles
- Other
Other Type
What specific breeds do you look for, if any?
Will you consider accepting a mixed breed?
- Yes
- No
Will you accept sick/injured animals?
- Yes
- No
Under what circumstances would you euthanize an animal in your program? Please explain.
How many animals does your organization take in annually?
How does your organization house the animals currently in your program?
- Foster Home
- Shelter
- Boarding
Boarding Kennel Name
Boarding Kennel Phone
References
Reference #1 Name
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
By submitting this form, I agree to spay/neuter all animals taken from the 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.
Department of Agriculture License (PDF format)
Accepted file types: pdf.
501(3)(c) (PDF format)
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Name
This field is for validation purposes and should be left unchanged.

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Rescue Partner Application

Organization Information

References