ACAR Annual Renewal Form

Rescue Name *

Primary Contact Name *

Secondary Contact Name *

List ACA Members on your Board of Directors *

Primary Phone *

Secondary Phone *

Primary Email Address *

Secondary Contact Email Address *

Is your 501(c)3 Status Current? *

Is your rescue Active or Inactive? *

Describe any special needs you anticipate in 2022 *

2021: Number of dogs currently in your care *

2021: Number of dogs taken in *

Number of Dogs Placed *

Have you read and agree to ACAR Code of Ethics *

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