<p> SOURCE/DESTINATION SHELTER APPLICATION</p><p>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:</p><p>Source (shipping) Shelter</p><p>Destination (receiving) Shelter</p><p>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:</p><p>Open Admission Municipal Limited Admission Non-Profit</p><p>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 # of Part-Time Employees: Click here to # of Active Volunteers: Click here to text. enter text. enter text. # of Dog/Puppy Runs: Click here to enter # of Cages for Dogs/Puppies: Click here # of Foster Homes for Dogs/Puppies: text. to enter text. 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. SOURCE/DESTINATION SHELTER APPLICATION Describe the intake procedure for dogs and cats: Click here to enter text.</p><p>Intake Fee per Animal: Click here to enter Behavior Assessment (SAFER, Assess-a-Pet, other, none): Click here to enter text. text. Describe the process to ensure each animal is spayed/neutered prior to adoption: Click here to enter text.</p><p>If yes, what store numbers? Click here Are adoptions currently conducted at any PetSmart stores? Click here to enter text. to enter text. Where are adoptions performed (shelter, retail stores, foster homes, other?): Click here to enter text.</p><p>Describe the adoption process: Click here to enter text.</p><p>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.</p><p>Describe any current transport/transfer efforts: Click here to enter text.</p><p>Name of Veterinarian: Click here to enter text. Is the veterinarian:</p><p>On-site Off-site</p><p>Full or Part-time employee Contracted clinic/clinics</p><p>Contractor Contracted individual</p><p>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. SOURCE/DESTINATION SHELTER APPLICATION Additional comments about the organization and why it would be a strong Rescue Waggin’ participant: Click here to enter text.</p><p>Thank you for your interest in the Petsmart Charities Rescue Waggin’ program. We will respond within 10 days. </p><p>Please send the following to: [email protected]</p><p> 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</p>