Dog Adoption Application
THERE WILL BE A NON REFUNDABLE $25 PROCESSING DONATION FEE THAT GOES TOWARDS THE ADOPTION FEE. WE MUST RECEIVE BEFORE CONTINUING. IF THE DOG HAS MULTIPLE APPLICATIONS YOULL STILL NEED TO PAY THE NON REFUNDABLE. WE ARE BEST FIT. ZELLE - PAYPAL - VENMO ONLY.
Full Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long at this address?:
*
Are you planning on moving within the next 6 months?
*
Yes
No
If yes, what are your plans for your pets if you move?
Home Phone Number
-
Area Code
Phone Number
Cell Phone Number
*
-
Area Code
Phone Number
Work Phone Number
-
Area Code
Phone Number
Name of Employer:
Up until what time of night can we contact you via phone?
*
E-mail
*
Are you 18 years of age or older?
*
Yes
No
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
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5
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25
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31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
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2016
2015
2014
2013
2012
2011
2010
2009
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1927
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1925
1924
1923
1922
1921
1920
Year
Do you own your own home?
*
Yes
No
If no, name and phone # of landlord. THIS MUST BE FILLED OUT OR YOUR APPLICATION COULD BE DENIED.
Type of Dwelling:
*
Please Select
House
Apartment
Condo
Mobile Home
Full name ( first, MIDDLE and last ). Month and date of birth and age of ALL occupants in household (including yourself). THIS MUST BE FILLED OUT FULLY OR YOUR APPLICATION COULD BE DENIED
*
If no children, do you plan on having children or will children be visiting the household frequently?
*
Yes
No
What is your reason for wanting to adopt a dog?
*
Housepet
Companion
Companion for pet
Gift
Guard Dog
Other
If other, please explain:
How many total hours will your new pet be left alone during the day? For extended hours what are your plans for the pet? Please explain in full.
*
How many total hours will your new dog be outside alone during the day?
*
If adopting a puppy, where would the puppy be kept when alone?
Do you have a fenced yard? **If adopting a special needs dog from us, you MUST have a fenced yard - or you will be automatically denied.**
*
Yes
No
If yes, which type of fence?
*
Wood
Chain Link
Split Rail
N/A
If yes, how tall is your fence?:
*
Do you have locks and/or latches on all your gates? *
*
Yes
No
N/A
Will your adopted dog or do your current dogs be put on a tie out?
*
Yes
No
Not sure
Are any members of your household allergic to animals?
*
Yes
No
If yes, please describe:
Who will have chief responsibility for the care of your new pet?
*
Over the past 5 years, how many pets have you owned? (Include current pets)
*
Please Select
0
1
2
3
4
5
6+
List each individually including name, breed, age, still living with you? (if not, why?)
Have you and your spouse (if applicable) ever owned a pet together?
*
Yes
No
N/A
If yes, when?
If you currently own a dog or cat, how does he/she react to new pets?
Are your present pets up-to-date on their annual vaccines?
*
Yes
No
N/A
If no, please explain:
Are your present pets spayed or neutered?
*
Yes
No
N/A
If no, please explain.
Were your previous pets spayed or neutered?
*
Yes
No
N/A
If no, please explain.
How much are you financially prepared to spend for routine/emergency medical care, licensing, etc?
*
What plans do you have for your new pet when you are on vacation?
*
Which dog(s) are you interested in?
*
Age of dog you would consider adopting: (check all that apply)
*
Puppy
Young
Adult
Special Needs
Senior
Bonded Pair
Can/Will you provide your dog with monthly heart worm/flea/tick prevention?
*
Yes
No
Who is your current veterinarian and veterinarian for all pets listed ? Please provide their NAME and PHONE NUMBER. PLEASE CONTACT YOUR VET TO RELEASE THEM TO TALK TO US.
*
If your dog displays behavioral problems (such as jumping on people,excessive barking, potty accidents, etc.) how would you go about correcting the behavior?
*
Contact a Professional
Use a book
Personal Knowledge
Other
If other, please explain:
What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply)?
*
Try crate training
Use positive enforcement
Use potty pads
Have dog examined by vet
Use a dog door
Return dog
None
Other
If other, please explain:
Is your entire immediate family in agreement with the decision to bring a new pet into your home?
*
Yes
No
If anyone is NOT, please explain:
Are you prepared to commit to a pet for 15 - 20 years (average life span)?
*
Yes
No
Have you or any member of your household ever been charged with cruelty to animals or negligence in animal care?
*
Yes
No
If yes, please describe:
Have you ever adopted or tried to adopt a pet from us before? If yes, fill out info below.
*
Yes
No
Where will your dog spend most of his/her time?
*
Please Select
Indoors Only
Outdoors Only
Indoors and Outdoors
Barn Cat
Basement/Garage
Confined
If you selected outdoor, would your dog be supervised?
Yes
No
YOU MUST CRATE TRAIN YOUR DOG TO PREVENT ANXIOUS AND FRUSTRATED TENDENCIES. CAN YOU DO THIS?
Yes
No
Where will your dog eat?
*
Where will your dog sleep?
*
Please provide 2 personal references (no relatives or people in house hold) and vet info, that can testify to your responsibility and ability to care for your animals. This is required or your application cannot be approved.
Current Vet Name and Number.
*
(If applicable. If no current pets, type N/A)
Reference #1
*
First and Last Name & Relationship to Self ( non relative & cannot live in the same house)
Reference # 1 Phone Number
*
-
Area Code
Phone Number
Reference #2
*
First and Last Name & Relationship to Self ( non- relative & cannot live in the same house )
Reference #2 Phone Number
*
-
Area Code
Phone Number
*PROCESSING DONATION ACKNOWLEDGEMENT* WE MUST RECEIVE YOUR NON REFUNDABLE $25 DONATION FEE (THAT GOES TOWARDS YOUR ADOPTION FEE) WITHIN 24 HOURS OF APPLICATION! VENMO: OBODEATH-ROWRESCUE1 PAYPAL/ZELLE: OBODEATHROWDOGRESCUE@GMAIL.COM ---- DO YOU UNDERSTAND AND CONFIRM?
*
YES
NO
Have you ever lost or given away a pet? IF YES, PLEASE EXPLAIN AT END OF QUESTIONNAIRE
*
Yes
No
If there is anything else you think we should know, please note it here.
Please remember, it may take approximately 2 to 5 business days for us to get back to you.
PLEASE NOTE IF YOU DO NOT FILL THIS APPLICATION OUT IN FULL YOU MAY BE DENIED. WE CANNOT STRESS THIS ENOUGH, YOU WILL BE DENIED OF THE INFORMATION IS NOT FULLY FILLED OUT. Please re-read your application before submitting.
PUPPY ADOPTIONS
**IF APPROVED FOR ADOPTING A PUPPY FROM US YOU WILL BE ASKED TO PAY HALF OF THEIR ADOPTION FEE AT TIME OF PRE ADOPTION MEET AND GREET - WHICH IS NON REFUNDABLE. THIS GOES TOWARDS THE DEPOSITS ON THEIR CARE. ALSO INSURING SERIOUSNESS OF ADOPTING. THIS HELPS AVOID OURS PUPPIES WAITING LONGER THEIR FOREVER HOMES.**
Thank you so much for wanting to rescue a dog!!
Submit Adoption Application
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