Rabbits: Only friendly domestic rabbits will be considered for admittance.

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1 AnimalFriends We re Thinking Outside the Cage Caryl Gates Gluck Resource Center 562 Camp Horne Road Pittsburgh, PA Dear Applicant, Thank you for your interest in Animal Friends. Following you will find information regarding the availability of kennel space in our resource center, the procedure for admitting an animal, general guidelines for admittance, and alternatives to placing with us. Kennel Availability Animal Friends has a no kill tradition, which means we do not euthanize animals to make room for other animals. Adoptable animals are at the shelter until they find a permanent home, which may be a matter of days, or much longer. Therefore, space is limited and becomes available as animals are adopted. Large dog space (over 40 lbs.) becomes available with less frequency than small dog/puppy cages because it usually takes longer for them to be adopted. Available cat/rabbit kennels are always at a premium. Animals that are already spayed or neutered and vaccinated may be admitted more quickly. Because they already have many of the requirements for adoption, they can potentially be adopted more quickly and therefore provide more available space. Because of these factors, we are very seldom able to admit animals on a walk-in basis or with short notice and we cannot give you a time frame for possible admission of an animal into our facility. We understand if it is important to you to place your animal into a facility that does not euthanize for space. However, if you are unable to wait for available space, please know that there are other options. We review some of these options later in more detail. Admission Procedure Please complete the enclosed application regarding your animal/animals and return to the Admissions Department at the address listed above. We ask you many questions to determine if the animal is appropriate for a kennel setting and for adoption. Once this form is returned to us, our admission counselors will date and review it. Returning the appropriate forms does not automatically guarantee the animal will be admitted to Animal Friends. If your animal is appropriate for admission, you will be contacted to schedule a date and time for admission. After the admission is scheduled, behavioral staff will assess the animal s behavior. If the animal demonstrates appropriate behavior, we will be able to admit it to our facility. If the animal is not appropriate for admission to Animal Friends, we will contact you with that information, and you may pursue other options. We do make every effort to admit animals as quickly as possible. We encourage placement in our Home to Home program in addition to the admission application. We request a donation of $25 for admission of an animal to the shelter, at the time of admission. For mothers and their babies, we request $25 for each mother and $5 for each baby. Admission Guidelines Animals are not required to be spayed or neutered, vaccinated or tested for contagious disease, but as noted above, those that are can often be admitted more quickly. Cats: We do not accept cats that test positive for feline leukemia, a contagious and fatal disease. All cats will be tested upon admission while you wait. If the cat is positive, we will not be able to admit it, and you will be informed of your options. We do not admit feral (wild) cats that cannot be handled or that need to be trapped. They are not adoptable, and do poorly in kennels. Rabbits: Only friendly domestic rabbits will be considered for admittance.

2 Dogs: All dogs are behaviorally assesed prior to admission. If there is concern of or evidence with aggression issues either toward people or other animals, the dog may not be admitted. Strays: We request that people who find stray animals call their local animal control for placement or pick-up. The reason for this? Owners who are attempting to find their pets will be referred there by their local police, municipalities and shelters. They will also be referred to their local shelter that may take the municipality strays. Seldom do lost pet owners think that their pet will be at our facility. Many dogs are not returned home if the system does not function appropriately from the finder s end. We do work with various animal control facilities to admit adoptable animals if the owners are not found. We also encourage people to attempt to find the owner in the area from where they retrieved the animal prior to admitting it into a shelter. This can be done through posters, door-to-door inquiry, or an ad in the local paper, Craigslist, or Call the local animal control, police, and shelters to report a found animal. General: Animals over a certain age that may vary by breed often do poorly in shelter settings. These animals can decline quickly in health and behavior going to a kennel environment from a home situation. They are usually the last to be considered for adoption, making their shelter stay longer and continuing the decline. We ask that people seriously consider the negative effects that placing them in a kenneled environment can have prior to their decision. A counselor will be happy to discuss these issues and other options with you. Placement Options/Alternatives Animal Friends Home to Home Placement Program Through the program, members of the public place cats and dogs up for adoption via the Animal Friends website but are solely responsible for adopting their pet into a new home. This program helps bring together owner and adopter, on their own terms, in their own communities, outside the traditional shelter environment. This is a helpful alternative for animals that would not do well in a shelter setting and owners who are able to retain the animal until a home is found. Animal Friends Behavior Helpline If you are considering placement of your dog or cat because of behavioral issues and have not consulted anyone yet, we have a Behavior Helpline You can discuss the issue with trained professionals that may be able to offer suggestions that will help you to keep the pet in the home. Breed Rescue Groups There are many purebred rescue groups that will accept placements. We often work with them if there are pure-breeds that need placement from our shelter. It is best for you to contact them yourself. Listings for Southwestern PA can be found at Local Shelters and Groups If you need to place your animal before we have space available, there are open-admission shelters in Allegheny County and surrounding counties that accept animals on a walk-in basis or with little notice. There are also other rescue groups and shelters that operate on a waiting list basis. There is a limited listing of these enclosed. Local Paper Advertisements You may advertise your animal in the paper to a good home, but we caution not to advertise Free. Many people who want animals for motives other than as a pet will answer these ads. Be sure to screen prospective adopters and follow your instincts. A small fee will not discourage good pet owners from seeking out your animal. Thank you, and if there are any questions, please feel free to contact us. Admissions Department admissionsinfo@animal-friends.org

3 AnimalFriends We re Thinking Outside the Cage Caryl Gates Gluck Resource Center 562 Camp Horne Road Pittsburgh, PA Admission Statement Animal s Name: Date: / / Dog Breed Cat Breed Rabbit Breed I hereby certify that I own, have assumed responsibility for or have no knowledge of any other owner of this animal prior to this admission. The information I have given Animal Friends, Inc. about this animal s age, health and disposition is correct. I have truthfully acknowledged any dangerous behavioral characteristics and any past history of biting or aggressive behavior. If, in the sole opinion of Animal Friends, Inc., any of the above statements are incorrect or if the animal reacts negatively to the shelter environment, Animal Friends, Inc. may notify me to reclaim the animal. I hereby surrender all my interest in this animal to Animal Friends, Inc. I request and understand that the decisions regarding this animal s care while sheltered and placement into an appropriate home will be as Animal Friends, Inc. deems advisable. I understand that I have no recourse in these decisions, unless recommended or required by Animal Friends, Inc. I understand that I must give Animal Friends 24 hours notice if I would like to reschedule my appointment to surrender my pet(s). As Animal Friends has many pets in queue to be admitted, I fully understand and agree that my place in line will be lost and my application purged if I fail to keep my appointment to surrender my pet(s). If, after this event, I would still like to surrender my animal(s), I agree to submit new paperwork for review and wait until a space once again becomes available. Name: Address: Phone: ( ) Alternate Phone: ( ) Signature:

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5 Animal Friends Home-to-Home Placement Program Animal Friends is pleased to offer an alternative adoption option: the Home-to-Home placement program (H2H). The H2H placement program was designed for those individuals and families who, finding it necessary to give up their beloved pets for adoption, want to take a more active role in the adoption process. Through the program, members of the public place cats, rabbits and dogs up for adoption via the Animal Friends website but are solely responsible for adopting their pet into a new home. Under H2H, owners have the benefit (and responsibility) of meeting, screening and making adoption decisions. Potential adopters have the benefit of one-on-one interactions with the current owners in order to obtain firsthand information about the animal s likes, dislikes and other characteristics. The H2H placement program also allows Animal Friends to help more animals in the community, even when our kennels are full. At its very core, this program helps bring together owners and adopters, on their own terms, in their own communities. How to Place Your Pet on H2H If you are interested in featuring your dog(s), cat(s) and/ or rabbit(s), you must return this form with the following information: Proof that the animal has been spayed or neutered; For cats & dogs: proof that the animal is current on shots; For dogs: proof the dog has been heartworm tested and is negative; For cats: proof the cat has been feline AIDS and leukemia tested and is negative for feline leukemia (Animal Friends accepts FIV+ cats with full disclosure); A brief 1-2 paragraph biography of your animal including animal s age, features, breed, temperament, etc. You must a clear, full body digital photograph of the animal to adoption@animal-friends.org. If you do not have access, please enclose a photo. The following contact information, which will accompany the animal s website profile so that potential adopters may arrange a private meet and greet: Name Contact number address For Animal Friends records only: (Addresses will not be published online.) Address Home phone Work phone I am able to make a donation to Animal Friends. Understanding the costs and resources associated with the H2H program, I have enclosed a check made payable to Animal Friends. REQUIRED: I will notify Animal Friends after my pet has successfully been placed into a new home. REQUIRED: I certify that this pet has not bitten and/or fought with another animal or human while in my ownership. Your signature is required. Mail this form, biography, and all attachments to: AnimalFriends H2H Program, 562 Camp Horne Road, Pittsburgh, PA 15237

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7 Dog and Household Information Incoming Dog Profile 1. Dog s name 2. Sex Male Female 3. Age years months 4. Breed 5. How long have you had this dog? years months 6. Is the dog spayed or neutered? Yes No 7. Your relationship to dog? Owner Friend/caretaker Foster owner Other 8. Where did you get this dog from? This shelter Friend/relative Newspaper/web site Found/stray Breeder Pet store Other shelter/rescue (please write name) Other (please describe) 9. Why are you giving up this dog? 10. Including yourself, how many people of the following ages live in your house? Please fill in the boxes. Age range (years) Female Male 11. What other animals did your dog live with? No other animals in household Dogs Cats Other (Please describe) Questions marked by paw print are necessary to complete the Behavioral History section Animal Friends

8 Typical Behavior (Your dog s usual behavior) 12. How does your dog usually behave towards the following? Please check the boxes. People your dog knows Men Women Children Unfamiliar people Men Women Children Animals your dog knows Dogs Cats Unfamiliar animals Dogs Cats Never encounter Friendly Afraid Shows teeth/ growls Snaps Bites None of these 13. Does your dog usually uncontrollably chase or attempt to chase any of the following? Please check all that apply. Joggers Bicycles Skateboarders/roller bladers Cars/motorcycles Outdoor cats Squirrels or other small animals Birds Doesn t chase Other (please describe) 14. How does your dog usually react when you or another family member does the following? Please check boxes. Bathe Brush Wipe feet Never tried Enjoys Allows Afraid Shows teeth/ growls Snaps Bites None of these 15. How does your dog usually react when an unfamilar person approaches or enters the yard or house? Friendly Afraid Barks Shows teeth/growls Snaps Bites None of these 16. Do you take your dog out to go to the bathroom? Yes (please specify how many times per day) No/paper trained 17. Does your dog usually have accidents in the house? Yes (please specify how many times per day) No 18. Where does your dog spend most of his/her time? Inside the house, runs free Inside the house, in cage Outside the house, runs free in the neighborhood Outside the house, runs free in the yard Outside the house, in cage Outside the house, tied Other (Please describe) Questions marked by paw print are necessary to complete the Behavioral History section Animal Friends P AGE 3

9 19. How long is your dog left alone, without people, during the week? Never 1-3 hours 4-8 hours 9-12 hours Over 12 hours 20. When your dog is left alone, is he/she... Outdoors Free in home Confined to a room In a cage Other (Please describe) 21. When left alone, does your dog usually show any of the following behaviors? Please check all that apply. Destroy household items Urinate/defecate Bark Cry None of these 22. When you are home, does your dog usually show any of the following behaviors? Please check all that apply. Destroy household items Urinate/defecate Bark Cry None of these 23. When your dog plays, does he/she typically... Please check all that apply. Jumps Growls Barks Bites lightly Bites hard None of these 24. What toys does your dog like? Balls Frisbee Plush Squeaky Tug Toy None Other (Please describe) 25. What games does your dog like? Fetch Tug Chase Wrestling None Other (Please describe) 26. Is your dog scared of anything? Yes (Please describe) No 27. Please tell us your dog s bad habits Is your dog allowed on furniture? Yes No 29. Where does your dog usually sleep overnight? Cage Floor Dog bed Couch Owner s bed Other (Please describe) 30. What commands does your dog know? No commands known Sit Stay Down Come Heel Give paw Other (Please describe) 31. Has your dog attended any obedience training classes? Yes No 32. Has your dog ever been walked on the leash? Yes No 33. Does your dog have problems riding in the car? Yes (Please describe) No Don t know 34. Has your dog escaped your property 2 or more times in the last 6 months? Yes (Please describe) No Questions marked by paw print are necessary to complete the Behavioral History section Animal Friends

10 Aggressive Behavior (Behavior that has ever happened) 36. Is there any report of your dog ever inflicting a serious bite to a person (such as an attack or a bite requiring hospitalization)? Yes No Don t know 37. Has your dog ever attacked another dog resulting in severe injury or death to another dog? Yes No Don t know 38. Has your dog ever attacked another domesticated animal species (cats or livestock but not small pets like hamsters, guinea pigs, etc.) resulting in severe injury or death to another domesticated animal? Yes No Don t know 39. Please check the appropriate box if your dog has ever shown any of the following aggressive behaviors toward men, women, children, dog, or another domesticated animal species (cats or livestock, not small pets like hampsters, guinea pigs, etc.) Do not include aggressive behaviors directed toward a veterinarian or groomer. Men Women Children Dog Other domesticated animal species (cat, livestock, etc.) Shows teeth/growls Snap Bite None of these Do not know 40. If a snap or bite to men or women was checked, did the snap or bite to adult take place while breaking up a dog fight or while a dog was in severe pain? Yes No 41. If snap or bite to children was checked, did the snap or bite to a child take place while breaking up a dog fight or while a dog was in severe pain? Yes No 42. Please explain the circumstances of the snap or bite. If you checked more than one bite in the table above, please explain the circumstances of every snap or bite. 43. If any aggressive behavior to men, women, or children was checked in the table above, please answer the following questions. If does not apply, skip the table. Was the aggressive behavior over food? Was it over bones or rawhides or chews? Was it over toys? Was it over stolen objects? Was it when the dog was disturbed while sleeping or resting? Was it when an adult or child handled the dog (brushing, handling feet, bathing, teeth brushing, ear cleaning, etc. but do NOT include reaction to vet or groomer)? Was it when an adult or child entered the house or yard? Was it when an adult or child approached or reached toward dog? Men Women Children Yes No Yes No Yes No Questions marked by paw print are necessary to complete the Behavioral History section Animal Friends

11 Medical History 44. Does your dog see a veterinarian at least once a year? Yes No 45. If yes, please specify the veterinarian name and contact info Veterinarian Name Contact info 46. Check if your dog has ever shown any of the following aggressive behaviors when handled by a veterinarian or groomer. Examine (including heart and ears) Restrain Administer shots Trim nails Take blood Never done Show teeth/ growl Snap Bite None of these 47. Does your dog have to be muzzled at the veterinarian? Yes No 48. Does your dog have any past or present medical conditions? Yes (Please describe) No 49. Is your dog currently on any medication or special diet? Yes (Please describe) No 50. What type of food does your dog eat? (Please check all that apply) Dry Wet/canned Table scraps Please feel free to tell us any additional helpful comments. Questions marked by paw print are necessary to complete the Behavioral History section Animal Friends

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13 AnimalFriends We re Thinking Outside the Cage Caryl Gates Gluck Resource Center 562 Camp Horne Road Pittsburgh, PA Regional Shelters (revised 8/28/2013) Allegheny County Animal Rescue League 6620 Hamilton Avenue Pittsburgh, PA Kennel Hrs. Sat & Sun 11-5 PM Mon PM Tues Fri 12-7:30 PM Western PA Humane Society 1101 Western Avenue Pittsburgh, PA Kennel Hrs. Mon 12 PM to 7PM Tues Fri 10 AM to 7PM S & S, 10 AM to 5PM West Deer Dog Shelter (No Kill) (Takes West Deer Animals Only) 109 East Union Road Cheswick, PA White Oak Animal Safe Haven 2295 Lincoln Way (No Kill) White Oak, PA Armstrong County Orphans of the Storm (No Kill) Rte. 85 East Kittanning, PA Beaver County Beaver County Humane Society 3394 Brodhead Road Aliquippa, PA Butler County Butler Co. Humane Society (Butler County animals only No Kill) 1015 Evans City Road Renfrew, PA Kennel Hrs. M, W, F PM Tues PM Thurs 11-7 PM Sat/Sun 10-5 PM

14 Fayette County Fayette Friends of Animals 223 Searights Herbert Rd. Uniontown, PA Greene County Humane Society of Greene Co. 183 Jefferson Rd. Waynesburg, PA Hrs. M,W&F 12 to 5 PM Indiana County Indiana County Humane Society 65 Haven Drive Indiana, PA Four Footed Friends (No Kill) P.J. Beck Animal Sanctuary 220 Beck Road Indiana, PA Kennel Hrs. M,W,F,S& 1-4 PM T & Th. - Closed Lawrence County Lawrence County Humane Society P.O Box 60 New Castle, PA lchumane2@comcast.net Washington County Angel Ridge Animal Rescue (No Kill) 390 Old Hickory Ridge Rd. Washington, PA Washington Area Humane Society (No Kill Shelter) 1527 Route 136 Eighty Four, PA Hours: Daily 12 to 5:00 PM Westmoreland County Action for Animals Humane Society (No Kill) 386 Rte. 217 North Latrobe, PA Humane Society of Westmoreland County (No Kill) Has Humane Agt. Rte. 119 North R.D. # 1, Box 370 Greensburg, PA The Animal Friends of Westmoreland County (No Kill) 216 Depot St. Youngwood, PA Animal Protectors of Alleg. Valley (No Kill Shelter) 533 Linden Avenue New Kensington, PA animalprotectors.net/index.php