Rescue Name Rescue Mailing Address City, State, Zip Phone number(s) Is your group a 501c3? Yes No Working on it Website address Rescue Email What area(s) do you cover? Year your Group was Created Directors Full Legal Name / Nickname if applicable Directors Home Address Directors Personal Email Directors Home AND Cell Phone Numbers Approx how many dogs do you take in per year? What Breeds does your Group take in? Facebook Name URL Please list your experiences that qualify you to run a Rescue Group Do you have a facility or will you use Foster Homes? Please list your Veterinarians Name, Address and Phone In your absence, who could we contact in an emergncy (for the rescue) Are there any areas you would like training on? Please retype the letters as you see them