RCAPS Rescue Application

Organization name:*

Address (must have physical address no P.O. boxes):*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail:*

Phone Number:*

Area CodePhone Number

Cell phone:

Fax:

Area CodePhone Number

Website:

Paypal address: (this is the only way we send the sponsorship funds raised for an animal to rescue. We are unable to send funds any other way than paypal and we will not send funds any other way. Please be sure to put in your paypal address. If you do not have payapl this is a great way to have people donate money. Funds are usually sent out the Monday night after the main transport for that week)*

Vet references. Please include at least two with contact and phone number. We will not be able to process the application if you do not include phone numbers. :*

Does your vet know you by your rescue name? If no, please explain. *

Shelter references. Please list shelters you have pulled from including contact and phone numbers. We will not be able to process your application if you do not include phone numbers.:*

Local Animal Control Reference, including contact and phone number. We will not be able to process your application if you do not include phone numbers.:*

Attach your Adoption Contract::

Upload a File

If you are a 501(c)3, we ask that you attach your IRS Letter of Determination.

Upload a File

Has your rescue been in existence for at least 1 year?*

Is your rescue shelter based or foster based? If foster, how many fosters do you currently have:*

If your rescue is foster based, please list at least two foster references. Please include name and phone number. We will not be able to process your application if you do not include phone numbers. :*

If foster based have you physically checked all foster homes?*

Has your organization had to euthanize any animals and if so, who and why?*

What is the process for someone to adopt an animal from your rescue?*

What is the fee charged to adopters?*

What is your annual operating budget:*

Animal name/s your are interested in rescuing:*

Please list your rescue's vetting and quarantine requirements (you will be responsible for any/all charges) :*

Some things you should know when working with us:

1. To become a Rescue Partner with Ruin Creek Animal Protection Society (RCPAS) you must complete the Rescue Application and agree to the Rescue Commitment Expectations. Your rescue must have been in exsistence for at least a year, you must have 2 good vet references, a good shelter reference and a good local animal control reference. Following your confirmation of each animal you will be notified when they are available and when you either need to pick them from transport or from the shelter. We will ask for follow up proof of pictures of the animals and proof of vetting done.

2. Please use the email addresses rcaps2011@gmail.com to state which animals you are interested in saving. When you reply to confirm animals, please include your email address, what rescue you work with and a contact phone number along with the animal name. Dogs are not heartworm tested until a rescue confirms them (unless otherwise noted). If you CANNOT take a HW+ animal, please mention it when you confirm. If heartworm status is not acceptable once it is determined you may decline to take the dog.

3. We CANNOT guarantee the health or behavior of an animal. The animals have not been examined by a veterinarian unless otherwise noted. If you have committed to an animal and it becomes sick you are responsible for any medical expenses incurred after the commitment date. If you would like the animal to have any kind of treatment (ie: worming, flea/tick treated) before the date of transport and the animals needs to be taken to the vet and boarded it is your responsibility to communicate with the vet and be sure what you want done is done and all expenses are paid by you. All boarding fees occurring if an animal is pulled before the transport date will be paid by you. We will do our best to raise some sponsorship money which is usually sent the Monday after transport minus the price of the heartworm test, health certificate, any vet expenses occurred before you committed and paypal fees. This sponsership money will only be sent if the rescue recieving the animal has filled out the application and has recieved confirmation that they are an approved rescue parnter.

4. If you are the rescue pulling the animal and there comes a time when you decide for any reason you cannot rehome the animal yourself you must contact RCAPS and let them know. We do not allow any animal to be transfered to another rescue group without our consent. We do our best to make sure all rescues taking animals have certain procedures and abilities in place and do this for the safety of the animals.

5.If at any time the Rescue feels the need to put down the companion animal they have recieved from RCAPS they MUST notify RCAPS before the companion animal is put down. RCAPS then reserves the right to reclaim the animal and any an all monetary funds given that have not been used to help the companian animal. If RCAPS is notified that the companian animal has been put down without prior notice RCAPS has the right to recieve any an all monetary funds given for the companian animals back and will no longer allow this rescue to pull animals from them.

TRANSPORT GUIDELINES

-If you cannot meet transport along our regular route on I-95 from Henderson NC- Ridgefield NJ you must set up your own transport. The van will leave Henderson at 10pm Fri or Sat night and arrives ealry Saturday or Sunday morning. The last stop pick up in Ridgefield NJ is usually somewhere between 6am and 8am.

-In order for animals that are non-vance animals to go to a rescue on the vance/rcaps transport the rescue must be pulling from the Vance County Animal Shelter (RCAPS - please be sure you know which shelter you are pulling from) that same week

-The current donation to ride the van is $50 per crate (ie: a litter of 4, 8-12 wk old pups (depending on breed) could possibly fit in one medium/large crate a litter of 4, 6 month old pups would need at least two crates so the donation needed would be $100 for them. Vance animals have ticket to ride links created and vance volunteers post to get this filled. It will not be up to Vance volunteers to raise this money for non-Vance animals. If funds for non-Vance animals are not paid through paypal by the Wednesday after transport Vance will no longer transport from that shelter.

-Transport must be confirmed by the Thursday before transport by noon if transport is Friday and the Friday before transport by noon if Saturday transport. If it is known that transport will be needed before then please notify as soon as possible. (contact is rcaps2011@gmail.com)

-All non-Vance(RCAPS) animals must come with all paperwork needed including shot records and health certificate.

-Please be sure you know where your animals are coming from. Vance (RCAPS) animals and Vance (RCAPS) volunteers are not to be contacted about incorrect paperwork or things needed for non-Vance (RCAPS) animals. Please be sure you have the correct contacts for the animals you are pulling.

- Vance (RCAPS) animals will take president and if a non-Vance animal does not fit the shelter bringing the animal must find alternate transport or holding arrangements.

- Vance (RCAPS) is not a transport service and is only offering transport to other shelters in need if there is room on their transport for Vance animals. RCAPS is a small group that attempts to save the lives of the Vance shelter animals by connecting them to rescues and offering transport from NC-NJ as an incentive for the rescue to take Vance animals.

Please be patient with us. Currently we have a very small volunteer base dedicated to the rescue placement process and they visit the shelter as often as possible. They sift through many emails every day. They will respond to your inquiry, but it may be a brief exchange and may not be immediate. Thank you for understanding!

Ruin Creek Animal Protection Society

rcaps2011@gmail.com

https://www.facebook.com/pages/Ruin-Creek-Animal-Protection-Society-of-Henderson-NC/192733960797149

Rescue of the Companion Animal identified in this agreement, agrees, understands and promises to forever release, discharge, indemnify and hold harmless the Rescue, its members, trustees, volunteers or any of its agents or representatives, or any other person associated with the Rescue, their heirs, administrators, executors, successors and assigns from any and all claims, damages, costs, expenses, loss of services, actions and causes of action arising out of bodily injuries, mental anguish or property damage or any other occurrence from the present time on, caused by the rescue of this Companion Animal. This includes any and all loss, damage, fees and expenses (including legal or medical fees) by reason of liability imposed by law upon the Rescue or any of its agents or representatives, heirs, administrators, executors, successors and assigns because of bodily injuries or death to any person(s), or animal, including the Adoptive/Foster owners or third parties, or any damage to property arising out of or in consequence of the placement of this Companion Animal, howsoever such injuries, death or damage to property may be caused, whether or not the same may have been caused by, or may be alleged to have been caused by, negligence of the aforementioned parties or any of their agents or representatives, or any other person connected with the shelter or RCAPS, the undersigned, assumes sole responsibility for all manner of actions and causes of actions, suits, debts, accounts, bonds, covenants, contracts, agreements, judgments, claims and demands whatsoever arising out of possession and/or the placement of this Companion Animal. Rescue also understands that the Ruin Creek Animal Protection Society of Henerson will not be responsible for any medical care or costs thereof required for this Companion Animal from this day forth. All expenses resulting in any injury or illness and all care will be Rescues's sole responsibility. In addition, Adopter/Foster hereby agrees that the Rescue, its members, trustees, volunteers, agents or representatives, any other person associated with the Rescue, their heirs and assigns, successors and executors, will not and cannot be held responsible for the conduct, behavior, health or disposition of this Companion Animal. Rescue shall assume all responsibility for damages, suits, debts and actions that arise from ownership of this Companion Animal. Rescue realizes that he/she hereby relinquishes any right to take any legal action whatsoever against the Rescue, its members, trustees, volunteers, agents, representatives, heirs, administrators, executors, successors and assigns. Unconfirmed and unverifiable information has been voluntarily provided to RCAPS by its former owner, if known, but RCAPS has undertaken no investigation with regard to the history or physical condition of the Companion Animal other than given by the previous owner (if known). The Rescue, its members, trustees, volunteers, and any other agents or representatives, executors, successors, agents and assigns, make neither warranty nor guarantee, expressed or implied, as to the physical, medical, mental or behavioral condition of this Companion Animal, its background or its suitability or compatibility. Rescue therefore hereby releases RCAPS, and all of its members, trustees, volunteers, agents, representatives, heirs, administrators, executors, successors and assigns from any and all responsibility with regard to this Rescue Agreement, which Rescue undertakes voluntarily and with full knowledge of the above release and its implication.

If at any time the Rescue feels the need to put down the companion animal they have recieved from RCAPS they MUST notify RCAPS before the companion animal is put down. RCAPS then reserves the right to reclaim the animal and any an all monetary funds given that have not been used to help the companian animal. If RCAPS is notified that the companian animal has been put down without prior notice RCAPS has the right to recieve any an all monetary funds given for the companian animals back and will no longer allow this rescue to pull animals from them.

I understand Ruin Creek Animal Protection Society is run by volunteers. I understand my application will be checked throughly and I will be notified if I have/have not met the needed requirements as soon as a volunteer can respond. This usually takes just a few hours but there is a possibilty that this may take a day or two. If you do not hear a response after 3 days of applying please email rcaps2011@gmail.com and polietly inquire on your status.

Print Name:*

Signature*

Date:*

By signing above and clicking submit I agree to and will abide by all the terms explained in this application.