2. Rescue Partners are needed to join with the Aurora Animal Care & Control Rescue Team in order to alleviate overcrowding and to provide placement for animals whose current condition is not manageable in a shelter setting. Animals transferred to AACC Rescue Partners will be vaccinated with age-appropriate vaccinations: additional medical services (spay/neuter, microchipping, testing) may be available depending on the animal and resources currently available. Transport help may also be available. In order to join as an AACC Rescue Partner, every item on this form must be completed and requested documents must be submitted.
4. CONTACT INFORMATION
6. Organization Name
7. Phone Number
9. Mailing Address
11. City
12. State
13. Zip Code
15. Physical Address (if different)
17. City
18. State
19. Zip Code
21. Email Address
22. Fax Number
24. Website
26. Organization President or Director's Name
27. Email Address
29. Address
31. City
32. State
33. Zip Code
35. Home Phone
36. Cell Phone
38. AUTHORIZED AGENTS
    This Rescue Partner authorizes the following persons to enter into a transfer agreement and to remove animals from AACC's facility on behalf of the organization.
40. AUTHORIZED AGENT #1
41. Position
43. Phone Number
44. Email
46. AUTHORIZED AGENT #2
47. Position
49. Phone
50. Email
52. AUTHORIZED AGENT #3
53. Position
55. Phone
56. Email
58. AUTHORIZED AGENT #4
59. Position
61. Phone
62. Email
64. REFERENCES
    AACC requires Rescue Partners to submit references for the review process. One reference from the veterinarian that provides care for the organization's animals and two references from shelters or other rescue groups with which the organization partners or from which it acquires animals. Provide complete contact information for the following references. In addition, provide the name and contact information of your local animal control provider.
66. Primary Veterinarian
68. Name
69. Phone Number
71. Address
73. City
74. State
75. Zip Code
77. Email
78. Fax Number
80. Relationship with rescue and services provided
82. Shelter/Rescue Reference #1
84. Primary Contact
85. Phone Number
87. Address
89. City
90. State
91. Zip Code
93. Email
94. Fax Number
96. Name
97. Phone Number
99. Shelter/Rescue Reference #2
101. Primary Contact
102. Phone Number
104. Address
106. City
107. State
108. Zip Code
110. Email
111. Fax Number
113. Local Animal Control Provider
115. Primary Contact
116. Email Address
118. Address
120. City
121. State
122. Zip Code
124. Phone Number
125. Fax Number
129. OPERATING DETAILS
131. Year Established
132. Number of Animals Handled Annually
134. Capacity for Dogs
135. Capacity for Cats
136. Capacity for Other Animals
138. List species, specific breeds and/or if mixed breeds are accepted:
140. Does your rescue have a facility/building?

     1. Yes
     2. No
141. Does your rescue have a network of foster homes?

     1. Yes
     2. No
142. If yes, how many foster homes?
144. If your rescue uses boarding facility, name the facility:
     Note: AACC Rescue Partners with a facility, shelter building, or that utilize boarding facilities, must make any and all of those facilities available for site inspection by AACC or its authorized agents.
146. Types of services offered:

     1. Breeder

     1. Rescue

     1. Foster

     1. Other
148. If 'other,' please explain
150. Are there circumstances in which you would deem an animal to be non-placeable with the general public?

     1. Yes
     2. No
152. If you answered 'Yes,' is euthanasia an option at your organization? Please explain.
154. Do you spay/neuter all animals before releasing them to a new adoptive home? If no, what animals do you leave unsterilized?
156. What other medical treatment do you provide for animals in your care?
158. What is your adoption fee, and what services do you provide for that fee?
160. Do you have a return policy in your contract? Please explain.
162. Do you microchip all animals prior to adoption?
166. LICENSE INFORMATION
168. Upload a copy of your state license.
170. State of Illinois License Number
174. SUPPORTING DOCUMENTS
     Upload the following documents for review.
176. Adoption Application
178. Adoption Contract
180. Proof of 501(c)3 status (if applicable)
182. Spay/Neuter Contract (if applicable)
184. Brochure or other published materials about your organization (if applicable)
188. RESCUE AGREEMENT
     Upon entering a rescue partnership with AACC, I understand and agree to the following:
190. I agree to pick up, or arrange pick up for, any animal I have committed to transfer to my organization within 24 hours of the animal becoming available for transfer, unless otherwise arranged with AACC Rescue Transfer staff.
192. I understand that AACC and the Rescue Transfer Team makes no express or implied warranties about the health or soundness of the animals transferred, and that I am taking the animal "as-is."
194. I understand that there are no guarantees of the behavior or disposition of animals transferred to me.
196. I agree to pursue veterinary treatment to assess all animals transferred to me and to provide basic and necessary veterinary care.
198. I agree to provide the animals transferred to me with nutritionally adequate food, clean water and exercise sufficient to maintain the health and wellbeing of the animal.
200. I agree to address any medical or behavioral problems that the animals transferred to me may have.
202. I agree to surgically sterilize all animals transferred to me before placing them for adoption, if they are not already sterilized and if a vet deems sterilization to be safe.
204. I agree to carefully screen adoption applicants to determine their suitability for the animals transferred to me and to stringently evaluate potential foster homes.
206. I agree to permit AACC or authorized agents to inspect my facilities during normal business hours. I understand that this includes all boarding facilities.
208. I agree to submit an Outcome Report of transferred animals at any time, as requested by AACC.
210. I agree to pay for any expenses incurred relating to the veterinary care or basic husbandry needs of the animals transferred to me, unless otherwise agreed in writing by AACC, and hereby waive any rights to claim reimbursement of said costs and expenses from AACC or the Rescue Transfer Team.
212. I agree to comply with any applicable Federal, state, or local laws applicable to the animals transferred to me.
214. I agree to waive and forfeit any and all claims I or my organization has or may have in the future against AACC or the Rescue Transfer Team.
216. Please be aware that all references will be checked and statistical information may be requested on transferred animals.
220. CERTIFICATION

     1. By checking this box, I agree that I have read and will abide by the Rescue Agreement and further attest that the information in this document is true and accurate to the best of my knowledge.
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222. 1. Receive an email copy of this form.
223. Email address

     This field is not part of the form submission.

224. Submit

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