RESCUE GROUPS, INDEPENDENTS, CITY OR COUNTY SHELTERS & SANCTUARIES 

VERY IMPORTANT... PLEASE TAKE TIME TO READ & COMPLETE ALL INFORMATION BELOW BEFORE SIGNING!

In order to join and maintain your membership with RPAL in good standing, it is imperative that you and your group comply with RPAL Terms of Membership. Failure to do so could cause you/your group’s immediate suspension or termination of membership.

Organization Name:*
Date Established?
Organization Type?*
Federal EIN If Applicable #
Main Address:*
Main City:*
Main State:*
Main Zip:*
Website:
Facebook Page:
Director/Chairperson:*
Phone:*
Email:*
Main Contact Person for RPAL Notices: *
Title:*
Phone Number:*
Email:*
Alternate Contact Person:*
Title:*
Email:*
Phone Number: *
How did you hear about RPAL?*
Rescue OR Shelter Reference 1:*
Contact Name:*
Contact Phone:*
Contact Email:*
Rescue OR Shelter Reference 2:*
Contact Name:*
Contact Phone:*
Contact Email:*
Vet Reference:*
City, State*
Phone:*
Does your group utilize fosters in your program? Yes   No   
Does your group maintain a base facility or shelter? Yes   No   
Number of Dogs (on average) in your shelter/rescue care each day*
General Size or Range*
Average number of dogs adopted per month? *
When you purchase food what dry foods do you typically feed? *
When you purchase foods what wet foods do you typically buy?*
Where do you typically purchase your foods?*
Number of Cats (on average – domesticated and/or feral) in your groups care each day:*
Number of Domesticated Cats:*
Number of Feral Cats:*
Do you TNR?*Yes   No   
Do you Spay/Neuter all of your TNR Ferals?*
How many cats do you adopt per month approx.?*
When you purchase food what dry foods do you typically feed?*
When you purchase foods what wet foods do you typically buy?*
Where do you typically purchase your foods?*
Do you care for other animals, if yes, what kind and how many of each?
Do you spay/neuter prior to adoption?*Yes   No   
Do you do home visits prior to adoption?*Yes   No   
Does your group have a budget for food or rely on donations for food OR do you rely on donations for food OR Both? *Budget   Donations Only   Both Budget & Donation   
Are you affiliated with or do you receive food from other Food Banks, or regular manufacturer food programs?*Yes   No   
If Yes, list all food banks or programs here:
Have you read, understand and agree to abide by all the RPAL Terms of Membership?*Yes   No   
Upload 501c3 or City Paperwork Here