ISLAND DOG RESCUE ADOPTION APPLICATION
IDR is the state-side liaison for Island-based animal rescues in the Caribbean.
If you are applying to adopt a specific dog(s) please indicate here:
Dog Name
What is your timeline to adopt:
Month/Year
Name
*
First Name
Last Name
Year of birth / Age
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Facebook Profile name
(so we can easily find you on our facebook page!)
Are you at least 21 years old?
*
Yes
No
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long at this address?
*
Less than one year
1-3 years
3+ years
Do you
*
rent
own
Please provide landlord name and phone number if renting
What type of housing do you live in? This will help us match the correct dog.
*
House
Apartment
Townhouse
Other
Is there a securely fenced area for the dog? This will help us match the correct dog to you.
*
4 foot secure fence
6 foot secure fence
No fence, we leash walk
Other
Do you plan to move in the next year?
Yes
No
If Yes, what are your plans for your pet when you move?
Occupation?
*
Back
Next
Number of Adults living in the home?
*
Are there children living in the home or frequently visiting? (for example grandchildren)
*
Yes
No
Please tell us about who lives at your home. Number and ages of children who live or frequently visiting the home.
Please describe your home environment (Active, noisy, quiet, etc)
Does anyone living in the home have known allergies to animals?
*
Yes
No
Please provide more information about someone living in the home with allergies...
Is everyone in the home on board with the decision to adopt a dog?
*
Yes
No
Please elaborate on who is not on board with the decision to adopt...
Back
Next
Do you have any other animals living in the home (or visiting frequently)
*
Yes
No
Please list all other pets in the home (Type, age, personality it is especially important to note temperament such as dominant or submissive, anxious, shy, etc)
Are all of the animals in your home current on: (check all that apply)
*
Shots
Heart worm prevention
Flea/Tick prevention
Spayed/Neutered
None of the above
Please provide the name, address and phone number of your veterinarian (we will call for reference)
Have you adopted from Island Dog Rescue in the past?
Yes
No
If Yes, Provide dogs name and month/year of adoption:
Please describe the perfect dog for your lifestyle.
Desired age (you may choose more than one)
Puppy (less than 6 months)
Older puppy (6 months to 1 year)
Young adult (1-2 years)
Adult (2-5 years)
Older (5+ years)
Desired breed? (note: we do not guarantee any breed types, most of ours are mixes)
Desire gender?
Male
Female
Doesn't matter
Desired size? Select all that apply (remember that we cannot guarantee the size a puppy will grow but we are usually pretty good at estimating)
Small (less than 20lbs)
Small/Medium (20-30lbs)
Medium/Large (30 - 45lbs)
Large (45+ lbs)
Any size!
Where will the dog spend the day?
Where will the dog spend the night?
What are your plans for your dog when you go out of town?
How many hours will your dog be alone on a daily basis?
*
less than 4 hours
4-6 hours
6-8 hours
8-10 hours
10+ hours
If away for more than 4-6 hours, what are your plans for the dog?
Hire a dog walker, go to doggy daycare, crated, etc.
Who will be the primary care taker of this dog?
Feeding, bathing, exercising
Who will have financial responsibility for this dog?
Are you financially ready to care for a pet? (Routine/ emergency medical care, licensing, etc.)
Yes
No
Please rate your experience with dogs
*
1
2
3
4
5
Never had a dog (none)
Have had a dog all my life (a lot)
1 is Never had a dog (none) , 5 is Have had a dog all my life (a lot)
Please rate your experience with puppies
*
1
2
3
4
5
Never had a puppy (none)
Have raised a puppy (a lot)
1 is Never had a puppy (none) , 5 is Have raised a puppy (a lot)
Please describe your plans for training
Please describe types of training you believe are effective:
If your dog displays behavioral problems (such as jumping on people, excessive barking, potty accidents, anxiety, etc.) how would you go about correcting these behaviors?
Have you ever worked with a professional trainer
Yes
No
How did you hear about Island Dog Rescue?
Why do you want to adopt through Island Dog Rescue?
Is there anything else you would like to tell us to help us match the right dog for you?
Are you prepared for the 10-20 year commitment of owning a dog?
Yes
No
Do you agree to have this dog spayed or neutered? (In some instances spay/neuter is already complete, in other cases spay/neuter will be arranged by IDR)
*
Yes
No
Do you understand once spay/neuter is completed, verification needs to be sent to Island Dog Rescue in a timely manner?
Yes
No
Do you understand spay/neuter is part of our mission and is REQUIRED for all dogs adopted through Island Dog Rescue?
Yes
No
Do you agree to provide licensed veterinary care for your dog?
*
Yes
No
Do you agree this will be an "indoor dog"
*
Yes
No
Do you agree to return this dog to IDR if at any point you are no longer able to keep him/her?
*
Yes
No
Please acknowledge that you are not permitted to take the dog or puppy to dog parks, pet stores, schools or other public venues until the adoption process is finalized
*
Agree
Do you agree to have the puppy/dog seen by a veterinarian within one week of the adoption?
*
Agree
Are you willing to seek professional training to address problematic behaviors should they develop? (Island Dog Rescue can provide recommendations)
*
Yes
No
Do you acknowledge that if the adopted dog/puppy is not already sterilized, you will have this done BEFORE the 1st heat cycle for female or by age of 7 months (or within the time frame your vet recommends for big male dogs).
*
Agree
Do you acknowledge that the full adoption donation must be paid before you take the dog home with you (or before we transport a dog out of area). If after 3 days you find the dog is not a good fit for you we will refund minus the $100 non-refundable deposit. For out of area adoptions, additional travel fees may be non-refundable as well. (note: all adoption fees are tax-deductible)
*
Agree
I have read and understood IDR's Mission and know I have access through the website and Facebook or by request to documents and videos that will support the process of adoption and ownership through Island Dog Rescue.
*
Yes
No
Do you certify that nobody living in the home has been convicted of animal cruelty, neglect or abandonment?
*
Yes
No
All of the information I have given is true and complete. This dog will reside in my home as my pet. I will provide it with quality dog food, plenty of fresh water, indoor shelter, affection, annual physical exams and vaccinations under the supervision of a licensed veterinarian.
*
Agree
Signature
*
Type your name (if unable to draw signature)
Typed name serves as an official signature
Date signed
-
Month
-
Day
Year
Date
Please verify that you are human
Submit
Should be Empty: