Rescue Application

Humane Society: 270-842-8572 Adoption Center: 270-783-9404 Clinic: 270-745-8646 Like us on

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Rescue application

Each rescue must fill out a rescue application & be approved to pull animals from our facility. A pull fee is required only to cover the vetting that we have done on each animal

Pull Fee Information

RESCUE APPLICATION

* Indicates required field

Rescue Name *

Specific Breeds You are Interested in *

Rescue Website *

Facebook Page: *

Rescue Address ***DO NOT USE P.O. BOX (as most states do NOT accept those on health certificates) *

Line 1

Line 2

City

State

Zip Code

Country

Contact Name *

First

Last

Best Phone # to Reach You *

Email *

Is Your Rescue 501c3? *

Yes No Currently in the process of obtaining

Please attach a copy of your adoption application *

Max file size: 20MB

How Long Have You Been Affliated w/ Rescue *

Have you worked w/ another rescue, other than the rescue you are w/ now? If yes, please list. *

Where Will Your Rescue Be Kept Until Adopted? Check ALL that Apply! *

Garage Inside Your Home Fenced Yard Foster Home No Kill Facility Outdoor Kennel SetUp Will Be Boarded at Vet Crated most of the time Humane Society Crated at night/feeding

Please list the requirements of your foster homes. How many animals are they allowed? Do you do home visits w/ foster homes before they are approved? Please be specific. *

Are your rescued animals spay/neutered before going to the adoptive home? *

Yes No Depends on age

Please attach a copy of your spay/neuter agreement. *

Max file size: 20MB

PERSONAL REFERENCES

Reference 1 Name *

First

Last

Email *

Phone Number *

How You Know This Reference *

Reference 2 Name *

First

Last

Email *

Phone Number *

How You Know This Reference *

Vet references
If you have not used the 1st listed vet for at least 2 years, please list the one used before your current vet now.

Clinic Name *

Vet Name *

First

Last

Phone Number *

Email *

Clinic Name *

Vet Name *

First

Last

Phone Number *

Email *

Do you agree NOT to have unnecessary surgeries performed such as ears cropped, tails docked, and all4 de-clawing on cats? *

Do you agree to keep this pet current on all yearly vaccinations & monthly heartworm preventative & flea control while in your care & agree to find a home that will do the same? *

If for ANY reason the adoptive home doesn't want to keep the pet they adopted from your rescue, is it mandatory that the pet be returned to you? *

If No, please explain: *

***If we receive information of refusal of your rescue not taking back a pet, that will be grounds for termination of our rescue & shelter relationship.

Do you agree not to euthanize any animal that our shelter has sent you unless checking with us first? *

(Meaning we want the option of sending the animal to another rescue or having the dog/cat sent back to us, we do temp test all dogs but sometimes their temperament may be different in our shelter environment than in a rescue environment, we try to be 100% but something like this "could" happen)

After you have offered rescue, if the dog/puppy gets adopted through our shelter before transport, to a "good" home, is that OK? *

If No, please explain: *

Payment for vetting must be made prior to transport with all new rescues. You can either pay by Pay-Pal or call the shelter and pay by credit card; money orders are also accepted. Payment must be made prior to transport with all new rescues.

By typing my name here, I affirm the above information is correct to the best of my knowledge: *

Submit

Adoption Center
270-783-9404

Humane Society
270-842-8572

Clinic
270-745-8646

Fax Number
270-783-9474

Hours: Monday, Tuesday, Thursday, Friday 10AM-4:30PM, Saturday 10AM-4PM, Sunday 12-4PM
Closed Wednesday
*Veterinary services may not be available every day. Please call ahead to confirm that a Vet is available.*
Our Vet normally does examinations on animals between the hours of 10 a.m. and 2:00 p.m.
Other services are available between 10 a.m. and 4 p.m.

1924 Louisville Road, Bowling Green, KY 42101

Rescue application

RESCUE APPLICATION

PERSONAL REFERENCES

Vet references If you have not used the 1st listed vet for at least 2 years, please list the one used before your current vet now.

Vet references
If you have not used the 1st listed vet for at least 2 years, please list the one used before your current vet now.