Castaways Adoption Application

Castaways Rescue, Inc

castawaysrescuenc@gmail.com
Castaways Rescue is an all-volunteer, veteran owned non-profit, dog welfare organization dedicated to the rescue and placement of stray, neglected and abused dogs. Castaways Rescue is completely funded through fundraising efforts and public donations. All of our pets are cared for by foster homes and receive complete medical care, which includes worming, vaccinations, spaying/neutering, and microchipping prior to their adoption.
This questionnaire is designed to help Castaways Rescue and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Castaways Rescue reserves the right to deny any adoption based on answers to this questionnaire and/or interviews and meet and greets prior to adoptions!
All applicants must:
- be at least 21 years of age
- provide a vet reference
- complete a home visit
- provide a lease agreement (if applicable) showing that the dog they are applying for is allowed (we will not place a dog in a home that only allows "emotional support" or "service" animals- they MUST be allowed as pets)
All rescue dogs are spayed/neutered between 8-12 weeks of age or as soon as possible after entering Castaways care. If you would like to foster-to-adopt before their scheduled spay/neuter, you will be responsible for transporting the dog to and from their spay/neuter appointment. Failure to keep the appointment will result in removal of the dog from your care OR you will be responsible for covering the cost of the rescheduled spay/neuter appointment.
Applicant Information
Name of the dog you are interested in:*
Are you applying as a foster-to-adopt applicant*

YESNO
Your full name:*
Your age:*
Street Address:*
City, State, Zip*
Home Phone:

Area CodePhone Number
Work Phone:

Area CodePhone Number
Cell Phone:

Area CodePhone Number
E-mail:*
Employer:*
Veterinary reference and phone number:*
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord:
Do you live in military/on base housing?*

YesNo
Does your landlord allow dogs?*

YesNoNot applicable
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Do you have a fully fenced yard?*

YesNo
Height and type of fence (if applicable)
Do you have any of the following?

Underground fenceKennelDog Run
How many adults are in your home?*
Please list the names and employers of all adults in the home*
ex. John Smith, Walmart
How many children are in your household?*
If there are children, what are their ages?
Have your children been around animals before?

YesNo
Does anyone in your home have allergies to dogs or have asthma?*

YesNo
Current/Previous Pet Information
How many dogs do you have?*
What is their breed and age?
How many cats do you have? *
How many of these pets are spayed/neutered?
Are these animals up to date on their vaccines?

YesNo
Are your pets on heartworm preventatives?

YesNo
Have you adopted from an animal welfare group before?

YesNo
If yes, what group?
Have you ever given up a pet?*

YesNo
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:
New Pet Information
If the dog you're applying for requires specific experience or handling (this would be listed on the adoption posting), please briefly explain your personal experience.*
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
Are you aware of crate training?*

YesNo
Have you ever house-broken a dog or puppy before?*

YesNo
If the dog has an "accident" in your home, what type of correction do you plan to use?*
How many hours each day will your new pet be home alone?*
Where will your new pet sleep at night?*
How will you supervise the dog's outdoor activity?*
Where will your new dog stay when nobody is home?*
What length of time will you allow your new pet to adjust to his new home?*
Are you willing to work through your new pet's issues, if any?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
What is your budget/plan for covering annual care of the dog (vet visits, preventatives, food, etc)? *
What is your budget/plan for unexpected expenses such as injury, illness, or emergency care?*
Do you understand that a dog can be an 18 year commitment, and can cost $300 - $500 per year to care for?*

YesNo
Do you plan to take an obedience class with your dog?*

YesNoNot sure
If yes, where?
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*

YesNo
What circumstances would lead you to give up your new dog?*
If you had to give up your dog, what would you do with him/her?*
How did you find out about Castaways Rescue?*

Petfinder.comFacebookFriend/Family MemberOther websiteOther
I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
Should be Empty:

Castaways Rescue, Inc

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information