Application

  • Application

  • If the dog you are applying for is no longer available, do you what to be screened for a future dog?*
  • What purpose will your new Dog serve in your life? ( please check all that apply)*
  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Co-Applicant Date of Birth.*
     - -

  • PUPPY PLAN: When adopting a puppy less than 8 months old, we require a PUPPY PLAN. If you are not applying for a puppy, please disregard this section.

  • Will you be attending puppy classes?
  • Will you be attending obedience classes?
  • Have you ever raised a puppy before?

  • YOUR CAR AND HOME

  • Type of living space:*
  • Rent or Own?*
  • Do you plan on moving in the next 12 months?*
  • If you move, will your dog(s) go with you?*
  • Area description:*
  • Is your yard fully fenced?*
  • Does your municipality have a limitation on the number of dogs you can own?*
  • Does your municipality have any Breed Specific Legislation enacted?*

  • YOUR ANIMALS

    Please know that to be approved for adoption from CLE Dog Rescue Crew, any cats and dogs in your care must be spayed or neutered.  We will validate all information with your veterinarian.

  • Dog 1 - Sex
  • Dog 1 - Spayed/Neutered?
  • Dog 1 - Up to date on vaccinations including rabies?
  • Dog 1 - Date of last purchase.*
     - -
  • Dog 1 - Date of last purchase.*
     - -
  • Dog 1 - Indoor or outdoor?*

  • DOG 2 (If applicable)

  • Dog 2 - Sex
  • Dog 2 - Spayed/Neutered
  • Dog 2 - Up to date on vaccinations including rabies?
  • Dog 2 - Date of last purchase.
     - -
  • Dog 2 - Date last purchased.
     - -
  • Dog 2 - Indoor or outdoor?

  • DOG 3 (If applicable)

  • Dog 3 - Sex
  • Dog 3 - Spayed/Neutered
  • Dog 3 - Up to date on vaccinations including rabies?
  • Dog 3 - Date last purchased.
     - -
  • Dog 3 - Date last purchased.
     - -
  • Dog 3 - Indoor or Outdoor?
  • Do you currently own any cats?*
  • If yes, does your cat(s) have the rabies vaccination?*
  • If yes, is your cat(s) indoor or outdoor?

  • PLEASE CALL YOUR VETERINARIAN TO RELEASE ALL MEDICAL INFORMATION.  

  • If granted adoption, do you agree to use heartworm prevention?*
  • Have you adopted from CLE Dog Rescue Crew before?*
  • Will you allow a rescue representative visit your home, if necessary?*

  • REFERENCES

    Please provide 3 non-relative references to you and/or your c-applicant.  These references must not be related to either of you.  

    Please inform your references that a representative from CLE Dog Rescue Crew will be contacting them and that you have granted permission to discuss your application with them.  The rescue representative may or may not have an out-of-state telephone number.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • ACKOWLEDGEMENT AND SUBMISSION

  • I understand that if approved for adoption, every family member and dog that resides in the household must come to the Cleveland, Ohio area to do meet and greets.*
  • Should be Empty: