Animal Shelter Application Form

Application and Agreement for Adoption Centers

The undersigned hereby represents that it is a non-profit or government facility that houses ten (10) or more dogs or cats or other animals in one facility that are available for adoption. Some exceptions will be made for smaller Government Shelters, Sanctuaries and Spay Neuter Facilities.

The undersigned furthermore agrees that by accepting a free donated Mp3 player with pre-recorded copyrighted music, the undersigned non-profit facility agrees that the player and music be played and installed in a secure place in the undersigned’s facility only. The undersigned furthermore agrees that the pre-recorded music and Mp3 player shall not be copied or tampered with in anyway. The undersigned agrees to continue to permit Rescue Animal Mp3 Project , hereinafter RAMp3 to perform follow up at the undersigned’s facility after installation of the Mp3 player. The undersigned shall immediately notify RAMp3 of any technical problems or if the Mp3 player is not being used at email or (330-266-2500).

Adoption Shelter qualifications include:

  • Non-profit Shelter with housing capacity of 10 or more animals (with active adoptions)
  • Or Government Animal Shelter or Prison Programs
  • Or Non-profit Spay Neuter Clinics or Sanctuaries
  • A high quality Boombox/Radio/CD player type speaker hook up (or sound system) *Must have this before Mp3 player hook up is sent out!
  • Provide a secure placement of the Mp3 player
  • Submitted application and adherence to policies

Fill in application online below or Shelter Application here.

    Organization Information

    Mailing Address

    Do You Have Internet Access?

    Contact Information

    Technical Information

    Sound in all kennel rooms?

    Boombox/Speaker/Receiver AUX Input for MP3 hook-up

    3.5mm single jack
    RCA - red/white plugs

    Facility Information

    Timer Needed, included at no charge

    It is IMPORTANT to have the music off part of the time (ie: at night) to achieve the best calming effect. A timer, which can be included, plugged into your speaker system (not into the Mp3), will turn the music on and off automatically.

    **By typing my name above I agree to uphold the terms of this agreement.