OLIDOG RESCUE ADOPTION APPLICATION
Thank you for considering adopting a dog in need!
Personal Information
Name
First Name
Last Name
Email
example@example.com
Do you consent to receiving updates from OliDog Rescue from time to time?
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Age
Under 18
Over 18
Adoption Information
Is there a specific animal you are looking to adopt or are you open to any dog?
Have you adopted before?
Yes
No
If YES for which organization?
If YES what animals did you adopt?
Do you have access to a vehicle?
Yes
No
If NO, how do you intend to transport the animal to and from the veterinary clinics, especially in the case of a medical emergency?
Your Home
Do you:
Own
Rent
If you RENT is your landlord open to pets in the rental?
Yes
No
Do you have access to a yard?
Yes
No
Does your home have stairs?
Yes
No
How many members are in your home?
How many are children under 18?
During what hours in someone in your household at home?
Does everyone in your home support your choice to adopt?
Yes
No
Will you allow a home visit to ensure that your home is appropriate?
Yes
No
Do you or any members of your household have any allergies to animals?
Yes
No
If YES, please explain:
Do you or any members of your household have a fear of any animals?
Yes
No
If YES, please explain:
Animal Experience
Have you ever owned a pet before? If so, what kind(s), please describe:
Were you the primary caregiver for your previous pets?
Yes
No
How long did you own the pets?
Where was your animal housed?
Indoors
Outdoors
Both
Where did you get your animal from?
Have you ever surrendered or given away any animals?
Yes
No
If YES, why?
Was your previous pet spayed/neutered?
Yes
No
Do you currently have pets in your home?
Yes
No
Please list number, species, ages and sex of pets:
Submit
Should be Empty: