Adoption Application Form - Iron Dog Rescue

Name of dog /s applied for *

Name of dog (1st) Name of dog (2nd)

Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State

Post Code

Phone Number *

Area code Number

Mobile Number

E-mail *

example@example.com

Do you own or rent? *

Own Rent

Do you have a fenced in yard? *

Yes No

Are there any children in the home? *

Yes No

Will you crate your pet? *

Yes No

How many hours of the day will the pet be alone at home? *

If you have to leave town, emergent or planned, where will your pet stay? *

How will you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, or unruly leash behavior in your pet? *

Do you own any other pets? If yes, how many? (Cat or dog) *

What is the breed of your pet? *

What is your pets disposition and behavior toward other dogs? *

Is your pet male or female? *

Male Female

Is your pet desexed ? *

Yes No

Please provide a reference including name and phone number. *

Is your pet used to other pets?

Yes No

Do you have a regular veterinarian? *

Yes No

Veterinarian’s name *

Clinic's Telephone *

Area Code Phone Number

Have you ever been convicted of an animal related crime, such as animal cruelty, animal theft, and or animal abandonment? (If yes please explain in detail) *

*

By clicking the submit button, I agree to the Iron Dog Rescue adoption process. By clicking the submit button, I understand Iron Dog Rescue will check my references including veterinary. By clicking the submit button, I understand there is an adoption fee which is not to be negotiated and is payable on pickup. I understand this donation will ensure the organisation is equipped to rescue another dogs in need and therefore, adoption donations and deposits are non refundable after the trial period of 14 days. By clicking the submit button, I agree to indemnify and hold harmless Iron Dog Rescue against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed. By clicking the submit button, I understand that Iron Dog Rescue will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed. By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet at any time, I will surrender my dog back to Iron Dog Rescue and provide transport to where Iron Dog Rescue deems appropriate. By clicking the submit button, I verify all of the above information is true and accurate.

Signature of Potential Pet Parent *

IRON DOG RESCUE

Adoption Application