Adoption Application

Thank you for considering the adoption of a rescue! Before you decide to adopt a pet, please consider the time, effort, and financial obligation necessary to properly care for an animal. Responsible pet ownership requires a commitment to provide care and companionship for the entire life of the animal. The decision to adopt a pet is an important one. In order to ensure that you and your pet will be happy for years to come, we need to take the time to discuss your and the animal’s individual needs and personality traits. Please take a few moments to carefully read and complete this application.

*First Choice

*Second Choice

Third Choice

Pet Preference

Age

Pet Size

Gender

*Energy Level

*Reason of Adopting

*Any specific dog behavior you can not tolerater

Potential Adopter Information

*Name

*Age (What is your age?)

*Email address 1

*Email address 2

*Home address

*Primary contact email

*Secondary contact email

*Primary Phone Number

*Best Time to Reach You

*Employer

*Address 1

*Address 2

*City

*State / Province

*Zip / Postal Code

*Country

Housing Type

Housing Status

Does your Property manger or Homeowner association allow a per(s)

Name of the landlord/association and contact number

If you move from your current residence, what is the plan for the pet?

About Your Family/Household Members

Other members in the household and their ages

Who will be primarily responsible for the care of the pet?

Secondary Contact Name

Secondary Contact Number

All members agreed to adopt a pet

*Does any member have health concern that will prevent you from keeping the pet

If your member(s) has health concern, what will you do with your pet?

/ donate & help