Blue River Animal Rescue Online Adoption Application

Full Name

First NameLast Name

If your name on Facebook is different from the name above, what is your name on Facebook?

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail

Phone Number

Area CodePhone Number

Occupation

Type of dwelling:

Do you own or rent?

If renting, Landlord or Complex Name

If renting, does your lease allow pets?

Breed or weight restrictions?

Is a pet deposit required? Have you paid the deposit?

How long have you lived there?

What is the name of the dog you are interested in adopting?

What made you decide on a dog?

Have you had dogs before?

Have you ever had to give up a dog?

If yes, for what reason?

Is everyone in household in agreement to adopting an animal?

How many other pets do you have and what are they?

Are there any children in the home? If yes than what ages?

Does anyone in the household have allergies to animal dander?

Who will train, feed and exercise animal?

Where will the dog be kept at night?

Will the dog be tied up outside?

Have you adopted a rescue animal before?

If yes, what organization or shelter?

What veterinarian do you or will you use? Please include their phone number.

Are your animals current on all vaccines?

Is your current dog or was your previous dog on heartworm preventatives?

If your pet was lost, what would you do?

Do you agree to reach out to Blue River Animal Rescue to help search for you pet if he or she is lost?

Most puppies and many of our adult dogs will NOT have been housetrained. Please describe the method you will intend to use to housetrain your new pet?

We recommend that you take your new dog to obedience training, especially if you are a first time dog owner. How much would you be willing to include in your budget for training?

Do you understand that puppies go through a chewing stage and in some breeds this can last up to 2 years?

During the chewing phase, it is VERY important to have plenty of toys on hand and secure your shoes, children's toys, electrical cords, etc. Are you willing to commit to doing this?

Dogs often live 10+ years. Are you prepared to make this commitment?

Should you have an unexpected illness or emergency hospitalization, who will be responsible for the care of the dog?

Is this dog for someone else? If yes, please explain.

Provide a reference that is not family member

First NameLast Name

Reference Person's Number

Area CodePhone Number

May we visit your home before and after adoption?

Has any member of your household ever been convicted of cruelty to animals?

Do you agree to keep the pet as an indoor pet and will never leave the pet chained up outside for long periods of time?

I / we agree that if we adopt a dog, we will provide professional vet care, a nutritious diet, and a loving home.

I agree

By checking "I agree" you are acknowledging that if you adopt a heart worm negative pet from Blue River Animal Rescue you are required to give the pet their monthly preventative. If the pet tests positive later on due to lack of preventative Blue River Animal Rescue is not responsible.

I agree

I/ we agree that we will return the pet to Blue River Animal Rescue if we can no longer keep it.

I agree

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Blue River Animal Rescue Online Adoption Application Form