Source/destination shelter application

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Thank you for your interest in the PetSmart Charities Rescue Waggin’ program! We are the single largest canine transport program in the United States. We transport thousands of dogs and puppies each year. We cover all costs of transport, including vehicle, drivers, fuel and standard medical costs associated with preparing a dog for transport (vaccines, de-wormer, etc). The Rescue Waggin’ program is a shelter to shelter program. In order to participate, you must have a physical sheltering facility, or partner with the local shelter where they will be the primary participant. Please use your tab button on your computer to navigate and to fill in the application.

Information

Applying to be:
Source (shipping) Shelter
Destination (receiving) Shelter
Organization Name: Click here to enter text.
Physical Address: Click here to enter text.
City: Click here to enter text. / State: Click here to enter text. / ZIP Code: Click here to enter text.
Mailing Address (if different): Click here to enter text.
City: Click here to enter text. / State: Click here to enter text. / ZIP Code: Click here to enter text.
Classification:
Open Admission Municipal Limited Admission Non-Profit
Open Admission Non-Profit Other, Describe: Click here to enter text.
Annual Budget: Click here to enter text.
Website Address: Click here to enter text.
Primary contact person for this application: Click here to enter text.
Email: Click here to enter text. / Phone: Click here to enter text.
Shelter Director Name (if different from primary contact): Click here to enter text.
Email: Click here to enter text. / Phone: Click here to enter text.
# of Full-Time Employees: Click here to enter text. / # of Part-Time Employees: Click here to enter text. / # of Active Volunteers: Click here to enter text.
# of Dog/Puppy Runs: Click here to enter text. / # of Cages for Dogs/Puppies: Click here to enter text. / # of Foster Homes for Dogs/Puppies: Click here to enter text.

DATA

Dog and Puppy Intake / Annual – Last Calendar Year
Dogs taken into care / Click here to enter text.
Puppies (5 month and under) taken into care / Click here to enter text.
Dogs and puppies adopted / Click here to enter text.
Dogs and puppies returned to owners / Click here to enter text.
Dogs and puppies transferred to other organizations / Click here to enter text.
Total dogs and puppies euthanized / Click here to enter text.
Number of dogs/puppies euthanized for time/space / Click here to enter text.

operations

Shelter Management Software (PetPoint, Shelter Buddy, Chameleon, ASM, ShelterPro, Other): Click here to enter text.
Describe the intake procedure for dogs and cats: Click here to enter text.
Intake Fee per Animal: Click here to enter text. / Behavior Assessment (SAFER, Assess-a-Pet, other, none): Click here to enter text.
Describe the process to ensure each animal is spayed/neutered prior to adoption: Click here to enter text.
Are adoptions currently conducted at any PetSmart stores? Click here to enter text. / If yes, what store numbers? Click here to enter text.
Where are adoptions performed (shelter, retail stores, foster homes, other?): Click here to enter text.
Describe the adoption process: Click here to enter text.
If the adoption application is available on-line, please provide link. If not please attach to email. Click here to enter text.
Adoption Fees
Cat: Click here to enter text. Kitten: Click here to enter text. Dog: Click here to enter text. Puppy: Click here to enter text.
Describe what is included with an adoption: Click here to enter text.
Describe any current transport/transfer efforts: Click here to enter text.
Name of Veterinarian: Click here to enter text.
Is the veterinarian:
On-site Off-site
Full or Part-time employee Contracted clinic/clinics
Contractor Contracted individual
Shelter cost for a Distemper combo vaccine: Click here to enter text.
Shelter cost for an intranasal Bordetella vaccine: Click here to enter text.
Shelter cost for flea/tick treatment: Click here to enter text.
Shelter cost for health exam and certificate for one dog: Click here to enter text.
Additional comments about the organization and why it would be a strong Rescue Waggin’ participant: Click here to enter text.
Thank you for your interest in the Petsmart Charities Rescue Waggin’ program. We will respond within 10 days.
Please send the following to:
·  Completed Application
·  Copy of Adoption Application (unless link has been provided)
·  Copy of Daily Cleaning & Disinfection SOP/Protocol/Procedure
·  Copy of Animal Intake SOP/Protocol/Procedure